DHH Service Request

Important Information: This accommodation request form is for DRC students only. For staff, faculty, or other district requests, please use the HR service request form.

One-time ASL/English Interpreter and/or Real-time Captioner (CART) Request

URL

This field is for validation purposes and should be left unchanged.

Requester Details

Name(Required)

First Last

Palomar Student ID(Required)

Palomar Student Email Address(Required)

Event/Appointment Details

Requested Service(Required)

Select from this dropdown which service(s) you are requesting.

Is this request related to a course you are currently taking?(Required)

Yes

Which class is this request for?(Required)

Please provide course name, course number, and professor. Example: HIST 100 Prof. Wilson.

Please describe this event/appointment.(Required)

Example: Office hours with professor, meeting with Financial Aid, etc.

Date of Event/Appointment(Required)

Start Time of Event/Appointment(Required)

End Time of Event/Appointment(Required)

Location of Event/Appointment(Required)

Additional Information/Context

Disability Resource Center

Disability Resource Center

DHH Service Request

One-time ASL/English Interpreter and/or Real-time Captioner (CART) Request

Requester Details

Event/Appointment Details

Contact Information

Disability Resource Center

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