Accommodations Request Form


Welcome to the Arkansas Tech University - Ozark Campus Accommodation Request Form. Please complete the following application in order to initiate a formal request for accommodations. If you need an alternative format of this information, please contact the ADA Coordinator at 479-508-3368 or





Start term (when you would like to start your services).
Tell us about the nature of your primary disability.
Tell us about any secondary disabilities.

Please have any documentation you have ready to be turned in BEFORE your appointment with the ADA Coordinator. Documentation can be sent to or brought to the ADA Coordinator in person in TAS 140.