SAS Formal Appeal Form

By submitting this form, you are requesting a formal review of an accommodation decision made by Student Accessibility Services.

The purpose of this review is to determine whether the decision was made through an individualized, interactive process and in accordance with applicable law and university policy. This is not a new evaluation of disability status, but a review of whether the accommodation decision was reasonable.

Name*

Please provide the name of the student/applicant.

Email*

Please provide your Iowa State email

Please list the accommodation(s) for which you are appealing the decision*

Please describe your reason for formal appeal*

For example, you may wish to share: Information you believe was not fully considered, new or updated information, how the decision affects your access in your courses or program, etc.

Would you like to schedule a meeting to discuss your formal appeal?*

All students who submit a formal appeal have the option to meet with the Director of SAS to discuss their appeal. This meeting is optional and is intended to support a fully interactive review process. If you select yes, a staff member will contact you to schedule the meeting.

Yes

Other relevant information (optional)

Additional relevant documentation (optional)

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.