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)