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Accessibility Resources
Disability Grievance and Appeal Form
Office of Accessibility Resources Grievance and Appeal Form
Today's Date
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MM slash DD slash YYYY
First name
*
Last Name
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Carleton email
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This appeal or grievance is related to the following:
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Academic Accommodations
Physical Education Requirement
Housing
Meal Plan
Campus Employment
Other
Were you registered with Disability Services during the term the incident(s) occurred?
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Yes
No
Did you attempt to informally resolve the concern before filing a grievance or appeal?
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Yes
No
Please describe your efforts to informally resolve the concern.
Please provide a complete description of your grievance or appeal. Provide all relevant details when possible (date and time if relevant, others involved, names of people who observed the incident, description of concern).
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Email
This field is for validation purposes and should be left unchanged.
Phone
This field is for validation purposes and should be left unchanged.
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