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California Polytechnic University Pomona
Disabled Student Services 
Division of Student Affairs

 
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Web Based
:
Link to Instructions for Web Based
Instructions

Download:
Alternate Media Request  SSR
Testing Request 
    Staff
    Links
  

Instructions:

  1. Download the form to YOUR computer. Do NOT open the form in your web browser.

  2. Open the form in Microsoft Word or Adobe Reader after download is complete and fill out on your computer

  3. Save the form (if using Word)

  4. If you are planning to mail or fax the form to DSS print out the form on your printer.   Then send or fax your form to the appropriate destination (see bottom). 

  5. If you are planning to email the form open your email program and attach it to your email.  Email your form to the appropriate destination (see bottom).

Reminder: Due dates and deadlines for the following forms are the same as the due dates of the paper forms.  Please see IMPORTANT DATES for deadlines.  

If your form is for:

 Alternate Media Requests, Reader Volunteer or Office Assistant for Readers' Services Requests

Support Services Requests or Testing Requests 
Mailing address:
3801 West Temple
Pomona, CA 91768
ATTN: DSS Reader's Services
Mailing address:
3801 West Temple
Pomona, CA 91768
ATTN: DSS
Fax:
(909) 869-4795
Fax:
(909) 869-3271
Email:
Dssreader@csupomona.edu 
Email:
Dss@csupomona.edu 

Forms Available for Download:

Alternate Media Request doc pdf

SSR doc pdf

Testing Request doc pdf

 

This page was last updated on 12/01/04