DSPS Forms

Students wishing to receive services must provide documentation from appropriate agencies or certified/licensed professionals outside of DSPS, per Title 5 of the California Code of Regulations. In order to provide services, we must first receive written verification of your disability. Forms are available in the DSPS office. Acceptable forms of disability verification may include:

• IEP/Multidisciplinary Assessment Report/504 Plan Paperwork
• Learning Disability Assessment Records
• Audiogram, Visual Acuity Report, or Medical Records
• The Disability Verification form (provided by DSPS and completed by a certifying professional)

Disability Verification

Alternate Media is defined as instructional materials, textbooks, college publications, and/or library materials in formats accessible and usable by individuals with disabilities. It is the process by which printed material is converted into an accessible form for a student with a reading or print limitation. Examples of accessible formats are: digital talking books (DAISY), audio format, large print, Braille, tactile graphics, captioning, and e-text. Alternate Media Services will only be provided to students who have a verified disability and whose disabilityrelated functional limitations prevent them from reading regular print. Eligibility for this service will be determined on the Academic Accommodation Plan (AAP). A completed alternate media contract and request form must be submitted in order receive alternate media services.

Alternate Media Contract

Captioning Request