ADA Exam Accommodation Request Form ADA Exam Accommodation Request Form Please fill out the form completely and click SUBMIT when finished (problems? firstname.lastname@example.org). Name*FirstLastUF ID*EmailProgramJ.D.LL.M.Comp. LawSelect your degree program from the drop-down listCurrent Exam ScheduleCourse Name & Section NumberExam Date & Time on Schedule Exam/s That You Are Requesting Accommodations forCourse NameType of Accommodation On the day of the exam, Are you picking up your exam/s or do you need Student Affairs to pick up your exam? Specific Accommodations You Are RequestingBEFORE submitting this form, please be advised of the following: 1. You are not to contact your professors. 2. All information that you submit shall be verified. *Submitting incorrect information could result in a student code of conduct violation, an honor code violation, or both. 3. Accommodations are for in class exams as per the Office of Disability Services. *Take home exams that are eight hours or longer receive no additional time. 4. The Assistant Dean will notify you in writing via e-mail of the accommodation being granted. 5. Please report ten minutes early to the Office of Student Affairs on the days your exams are scheduled.