California Polytechnic University Pomona
Disabled Student Services 
Division of Student Affairs

Instructions:

1. Click on the name of the form you would like to complete.

2. Fill out all required fields.

3. Press the "Submit" button.

4. If errors are found, return to the form to make the necessary corrections.

5. After the form is filled out correctly, it will be emailed to both the email address you provide and the appropriate DSS personnel. 

Web-Based Forms Available:

SSR 
Alternate Media Request 
Testing Request