Disability Services Intake Assessment Form 2026

1. Click ‘Get Form’ to open the Disability Services Intake Assessment Form in our platform.
2. Begin by entering your personal information, including your name, phone number, student ID, email address, and address. Ensure all details are accurate for effective communication.
3. If you are transferring from another college, provide the name of the institution and list any support services you have received. This helps us understand your background and needs.
4. Indicate whether you are receiving assistance from the Veterans Administration or LA Rehabilitation Services by selecting 'Yes' or 'No'.
5. Specify your academic program and describe how your disability impacts your learning in the academic environment. This section is crucial for tailoring accommodations to your needs.
6. List the accommodations you are requesting. Be as specific as possible to ensure we can meet your needs effectively.
7. If available, describe the documentation you intend to provide to support your request for accommodation and attach it to this form.
8. Finally, sign and date the form before submitting it to the Office of Student Services.

Start filling out your Disability Services Intake Assessment Form today on our platform for free!