Exam Accommodation Request

Students should thoroughly read the exam accommodations page prior to filling out the Exam Accommodation Request Form, which provides important information on the exam accommodation process for all Rutgers campuses, except Rutgers Biomedical and Health Sciences schools and Rutgers Law Schools. Please contact your ODS coordinator if you have questions.

If you need to cancel or make changes to an existing request, you must contact ODS immediately. Please do not submit another request.

Attention New Brunswick/Piscataway Students, Tuesday, April 22, 2025 at 12:00 AM is the deadline to submit all exam requests on time. This deadline is for any exams or quizzes for the rest of the semester, including finals. Exam requests submitted after this date may not be accepted.

Attention Newark Students, Tuesday, April 22, 2025 at 6:00 AM is the deadline to submit all exam requests.This deadline is for any exams or quizzes for the rest of the semester, including finals. Exam requests submitted after this date will not be accepted.

Student Information

RUID or A-Number *
Legal First Name *
Preferred First Name
Last Name *
Rutgers Email Address *
Preferred Email Address
Phone Number *

Course and Accommodation Information

Campus*

Semester *

Full Academic Year 2024-2025 (Medical/Dental Students Only)

Spring 2025

Full Academic Year 2025-2026 (Medical/Dental Students Only)

Course Name * (e.g. Calculus 1)

Course Subject and Number * (e.g. 640:135, or REHB:9000K for RBHS)

Course Index Number / Course Reference Number (CRN) * (e.g. 01234)

Course Section * (e.g. 01, or 02W, etc.)

Course Type * (e.g. online/hybrid/on-campus)

Course Day/Time/Location * (enter 'online' if your class is fully online)

Type of Exam *

In-Class

Online (not scheduled for specific date or time)

Online (at a specific date/ time)

For online exams, method of exam

Canvas

Sakai

Blackboard

Other method of exam that is not listed above:

For online exams, is your class using any of the following: (can select multiple)

Lockdown Browser

ProctorTrack

Respondus

Other online software that is not listed above:

Professor #1's Name *

Professor #1's Email

Professor #1's Phone

Professor #2's Name

Professor #2's Email

Professor #2's Phone

I have submitted my Letter of Accommodation request form, and I have read and understood all of the exam policies.*

I agree

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