Accessibility Resources - alt format request

First Name:

Last Name:

UC ID (M#):

Email:

Course ID and Section Number

Book Title

You must fill out a separate form for each book.

ISBN Number:

The ISBN Number is a 13 digit number usually found on the copyright page of every book.

Available Formats Please select your desired format

For Read & Write Gold, Speech-to-text; Searchable Text Document (PDF, Word.docx, ePub)

For Blind/Visual Impairment; Screen Reader Accessible (Screen Reader optimized PDF, Word.docx)

Proof of Purchase

Upload your proof of purchase. A copied receipt with your name present, or itemized invoice from an online retailer is necessary to process your request. If you are unable to upload your receipt at this time, please contact the Assistive Technology Specialist. Processing of your request will not begin until proof of purchase is received.

Course Syllabus

Please upload a copy of your course syllabus indicating the text is a required or recommended text for the completion of a UC academic Course. If you are unable to upload your syllabus a this time, please contact the Assistive Technology Specialist. Processing of your request will not begin until your syllabus is received.

Message

Use this space to leave a message for the Assistive Technology Specialist.

Check this box to indicate that you agree to the Terms of Use for this accommodation, found in the Alternative Format Request Policy and Procedure. Any misuse or distribution of this document is a violation of copyright law and a violation of the UC Student Code of Conduct. Terms of Use Acknowledgement

Agree

iFrame Code