Public Accommodation Request

* indicates a required field

Student Information

Please enter your information
Please use your university issued email address
Example: College of Nursing, DAAP, College of Business
Will you be attending UC Blue Ash?Required
Will you be attending UC Clermont?Required

Specific Accommodation Information

Are you requesting American Sign Language Interpreter and/or CART services?Required
What types of accommodations would you like to discuss?Required
Select all that apply

Please reference website for accommodation details

Are you requesting Housing accommodations?Required
Do you need an emergency evacuation plan due to your disability?
Are you requesting an Emotional Support Animal (ESA) accommodation?Required
Upload supporting document(s)

Documentation is required for any Housing Accommodation or ESA request. Please see our website for forms and more information and documentation requirements.