Forms and Appeals
Forms
It is recommended that Adobe Acrobat Reader is used to access the files listed below. Forms can also be picked up in BH 110. If you have any questions please contact DRES at (818) 677-2684 or dres@csun.edu.
Consent for Release of Information Form (.pdf)
Disability Documentation Mental Health Form (.pdf)
Disability Documentation Physical Disability Form (.pdf)
Faculty-Student Audio Recording Agreement (.pdf)
Faculty-Student Zoom Recording Agreement (.pdf)
Faculty- Student Powerpoint Slides Agreement (.pdf)
Faculty-Student Board and Powerpoint Slide Pictures Agreement (.pdf)
Informational Documents
Faculty Guide to Accommodating Students with Disabilities (.pdf)
Guidelines for the Assessment and Verification of Students with Learning Disabilities Documentation
Records and Confidentiality
Disability Resources and Educational Services (DRES) is committed to maintaining the privacy of student records, which are considered confidential in accordance with state and federal laws and university policy. The information contained in student records is protected by the Family Educational Rights and Privacy Act (FERPA). As outlined in FERPA and in the Student Records Administration university policy, student records may only be accessed by authorized department staff. Records may only be released if required by subpoena, court order or in accordance with state and federal laws and university policy.
A student may request the release of their record to a third party by completing, signing and submitting the form entitled Consent for Release of Information. Students also have a right to review their own files and may request a review by completing, signing and submitting the Consent for Release of Information form.
Accommodation Appeal Process
California State University, Northridge is committed to removing barriers for persons with disabilities. It is also California State University policy, Policy for the Provision of Accommodations and Support Services to Students with Disabilities (AA 2014-08) and Executive Order 1111, to make programs, services and activities accessible to students, faculty, staff and the general public with disabilities who visit or attend a campus-sponsored event. The policies are in accordance with applicable state and federal laws including, but not limited to, the Americans with Disabilities Act of 1990, as amended 2008 (ADAAA); Sections 504 and 508 of the Federal Rehabilitation Act of 1973, as amended; and applicable state laws including but not limited to the Donahoe Higher Education Act, Education Code sections 67302, 67310-13 and sections 11135 and 12926 of the Government Code.
In the event a dispute arises regarding the provisions of accommodations, there is a process in place for students to pursue solutions.
This information below describes the remedies available to students in the event that there is a dispute regarding the appropriateness of a particular student accommodation. Every effort will be made to resolve the dispute as expeditiously as possible.
Resolving Accommodation Disputes: Informal Resolution Procedures
All students are encouraged to resolve disputes at the informal level first by speaking directly to the faculty or staff member involved, outlining the nature of the dispute and suggesting solutions. In the event that this does not resolve the issue, the student is strongly encouraged to speak to the department or unit head.
Experience has proven that a majority of complaints can be effectively resolved through the informal process. In some instances, students may wish to contact a DRES counseling staff member and ask for assistance with advisory, informal mediation or conciliation services.
As part of the CSUN disability accommodation process, every student has the right to an informal appeal. Please complete the disability accommodation appeal application to initiate the disability accommodation appeals process.
If you have questions about the appeals process, please contact Dr. Freddie Sanchez, Assistant Vice President for Student Affairs, Equity & Inclusion at freddie.sanchez@csun.edu.
Resolving Accommodation Disputes: Formal Resolution Procedures
To initiate the formal resolution process, a complaint must be filed with the Office of Equity and Compliance. Students should be prepared to provide the following information.
The complainant's name, address and phone number
- The specific act(s) or circumstances(s) alleged to constitute the discriminatory actions that are the basis of the complaint, including the time and place of the alleged discriminatory action
- The remedy requested
The Office of Equity and Compliance is located in University Hall 285. You may contact the office by telephone at (818) 677-2077 or by fax at (818) 677-4820.