Thank you for filling out our request form! One of our DRC team members will review your request and contact you.

Request for Alternative Furniture

When to use this form

• If a classroom does not have the ADA furniture you need.
  • Alternative furniture can only be provided for on campus course and excludes online and remote course settings.

Steps and process

1. Fill out and submit the below form.
2. A DRC staff member will contact the student to discuss the approval or denial of request.

Student name

Student ID

Date of request

Term ADA furniture is needed

Course title

Building and room number

Furniture needed * Select an option Table ADA chair Other ergonomic equipment

Please insert any additional information or request

Read the code

New code

Please type the code above

Submit