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Access & Equity Services Forms

Forms & Instructions for Submission 

The Access and Equity Services Office is going paperless. You must save the forms to your computer before you begin working with them. After the forms have been saved you will be allowed to complete and sign electronically using Adobe Reader. All completed and signed forms should be returned via email or fax to The Office of Access and Equity Services. 

*ATTENTION MAC USERS* You must fill out the forms using Adobe. If you fill out the forms using Preview, your submission will not be received. If needed, click here to download Adobe. 

PDF Icon Student Registration and Self Assessment
All students enrolled in programs (online or off-site) through SUNY Delhi need to formally indicate their disability status by completing and submitting this form. Students enrolled in programs on SUNY Delhi Campus DO NOT COMPLETE this form, but must make an appointment to meet with the Access & Equity Coordinator as soon as possible.

Summer Transition Program Registration Form
Use this form to make a reservation for Summer Transition Program.  Summer Transition is for accepted Students with Disabilities and their families to learn more about the support services offered through SUNY Delhi Office of Access and Equity Services.

Request for Text in Alternate Formats
Students who have Electronic Books listed on their Accommodation Letters may request copies of their textbooks in alternative formats. The college uses a variety of sources to supply these materials, including files obtained from the publisher and scanning books in house. In order to request texts in alternative formats, please complete this form and submit to the Access and Equity Services Office. You must submit a form for each book you are requesting. Once you have submitted a request you must also provide the Access and Equity Office with proof of purchase, i.e. receipts. The last step is to sign the Copyright Agreement which should be signed electronically and emailed to the Access and Equity Office.   

Self Disclosure Form 

If you have been accepted for admission at SUNY Delhi and would like to register with The Office of Access and Equity Services, please submit this form which was included in your acceptance packet.


Forms should be submitted via email, fax, or mail to:

The Office of Access and Equity Services
221 Bush Hall   Delhi, NY 13753
Phone: 607-746-4593
Fax: 607-832-7593

Fill out and submit a Testing Services request form


Contact Info
Linda Weinberg
P: 607-746-4593
F: 607-832-7593


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Last Updated: 10/20/15