Letter of Accommodations Request Form


Prior to submitting your Letter of Accommodation Request Form below, please consider carefully which of your approved accommodations are relevant to your needs for each course you are enrolled this semester. For example, if your grade in a course is based on papers and a class presentation, then there is no need to request extended time (50%) accommodation for that course. Please refer to your course syllabus to determine which accommodations you wish to use in an individual course. If you have any concerns or questions please contact your ODS coordinator. Please complete only one form per course. Visit our Letter of Accommodation page for more information on the LOA process.

Please note: Rutgers Law School students do not use this form.

The university seeks to promote the comfort and safety of students who wish to be identified by a name other than their legal name by instituting a preferred name procedure. Please visit the Registrar’s Name Change Procedure and follow the steps indicated. If you wish to have your preferred name on your Letter of Accommodation, please fill it out in the form below and include your preferred name.

New Information Regarding Instructors

By submitting the Letter of Accommodation (LOA) request form, a Letter of Accommodation will be sent to both you and to your faculty member.

RBHS Medical and Dental students please note:

  • RBHS Medical Students: Letter of Accommodation will go to both you and the Student Affairs Office.
  • RBHS Dental Students: Letter of Accommodation will go to both you and the Academic Affairs Office.


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