Service Request Form

Students who have been working with the Disability Resource Center should complete their Service Request Form as soon as possible after registering for their classes each semester. Are you ready to submit your Service Request Form? Find your coordinator below and complete the appropriate Service Request Form online.

Note: Only students who have provided documentation and met with their coordinator for an intake appointment may submit the online service request form.  If you have not yet completed these steps, please contact us!

Colleen Martin


Colleen Martin

Brian Holahan

Brian Holahan

Prefer to complete the paper form? Get a copy of the Service Request Form Word Document or Deaf / Hard of Hearing Service Request Form Word Document here or stop by the Disability Resource Center to pick one up.

Disability Resource Center

119 Stevenson Hall

University of Louisville

Louisville, Kentucky 40292

Office Hours

M-F 8:00am to 5:00 pm


tel (502) 852-6938

fax (502) 852-0924

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