This form is for use by students to self-identify their status as a person in the protected class of disability as well as to request access services, if needed.

This form gives you, the student, the opportunity to give the Department of Student Affairs (DSA) additional information about your disability, the impact of the condition, the accommodations that you will need to address the impact, and the accommodations you have used in the past.

While requests for disability services may be made at any time, we strongly encourage you to submit this request with your disability documentation as early as possible. 

Need more information? Contact the Department of Student Affairs, (telephone: 876-906-3000 Ext. 3994, 3997, 4063; e-mail: studentaffairsadmin@ucc.edu.jm

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* 1. Student ID Number 

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* 2. Indicate your Start Term

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* 3. First Name 

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* 4. Surname 

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* 5. Enter your contact details below

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