Housing Accommodation Request Form

Please submit this form to request disability-related accommodations in University Housing.

Pronouns
When will you first need this accommodation?




Accommodation(s) Requested Please check all that apply.
If an emergency arises in your building, will you need assistance exiting the building?   If yes, you will be added to the Emergency Evacuation List.


 

A Department of STUDENT AFFAIRS

Disability Resource Center

119 Stevenson Hall

University of Louisville

Louisville, Kentucky 40292

Office Hours

M-F 9:00am to 5:00 pm

Phone

tel (502) 852-6938

fax (502) 852-0924

Inclusion Statement

Email

askdrc@louisville.edu

Social Media

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