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DRC Service Request Form for Deaf or Hard of Hearing Students

Please submit one request form per event as far in advance as possible. Please submit this form at least 3 weeks in advance for classes and at least one week in advance for events or extracurricular events. Early notification provides the UIC Disability Resource Center with the opportunity to offer timely and appropriate services.

All fields except for "Other information important to this event" are required.



Preferred Service:



If interpreter is chosen, please select preferred interpreting format




Duration:




What days of the week will you be needing this service (check as many that apply) ?

Indicate Event Format:




Other:










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