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OKCU Disability Information Form

Two easy steps to register
Please fill out the form below completely to register with OKCU's Disability and Access Services. The purpose of accommodations is to provide equal access to the University's programs and activities. Therefore, it is important that you provide documentation of a substantial limitation in a major life activity to obtain accommodations.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter your B Number, starting with B000.
  4. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
  3. Hint: This must be your OKCU email address ( if you are a current student.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address

  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Affiliation(s)
  2. Ethnicity(ies)
    Have you read the ESA Policy? * (Selection is Required)
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