ACCESS FORMS

Submit forms by mail, FAX, or in person.

Accessibility Resource Centers for Students ( formerly Disabled Student Programs & Services )
Mt. San Antonio College
1100 N. Grand Avenue,
Walnut, CA 91789

• Student Services Center, Building 9B
• Office Hours: 8 a.m. - 6 p.m. Mon. - Thu. / 8 a.m. - 4:30 p.m. Fri. 
• Phone: (909) 274-4290  
• Video Phone: 909-895-6634 
• Fax (909) 274-2943

Forms can be made available in alternate formats upon request.

• Alternate Media Request Form (PDF)
• Classroom Testing Contract (PDF)
• Note Taker Packet (PDF) with  W-9 Form (PDF)
• Volunteer Note Taker Packet (PDF)
• Request for Classroom Accommodations (PDF)
• Request for Information (Disability Verification)  (PDF)
• Release of Information Authorization (PDF) 
• Tram Request (PDF)
• Verification of Disability (PDF)

•  Application for ACCESS Services (PDF)