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Accessibility Resources Alternative Format Textbook Request

The digital age and the development of screen reading software has made it possible for individuals who cannot read or comprehend regular print to access print in various ways, hence the term alternate text format. Alternate text format (ATF) refers to the variety of ways print can be accessed using different formats which may include: Electronic text (E-text), scanned material, digital recordings and Braille.

Complete and submit this form in its entirety. Accessibility Resources will not process your request to obtain this text in alternate format until you have completed the entire form.

Please complete one form for each book you need.

* indicates required field

Your Information

Name:*

MSUM Email Address:*

All official University business will be conducted via go.mnstate.edu email accounts. It is essential that you access, read and use your go.mnstate.edu account.

Semester/Year:*

Receipts

I will be submitting my receipt by (check one)* Email to accessibility@mnstate.edu.edu In Hendrix 113 (Please be sure your name is on receipt or copy of receipt.) Mail (Attn: Director of Accessibility Resources, MSU Moorhead) Other

Book Information

If your textbook is not available on Bookshare, enter text requests below.

Complete Book Title:*

Author(s):*

Textbook Publisher:*

Year Published:*

Edition Number:*

ISBN:*

Course Information

Course Number:*

Course Title:*

Instructor's Name:*

Once confirmed, all alternate format books will be sent as an email attachment to your school email.

I certify that I have purchased and am the legal owner of the textbook I am requesting above. I understand that if I share any files received from Accessibility Resources with other students that I may be prosecuted for copyright infringement and lose the right to obtain texts in alternative format.

I understand that before my request will be processed I must provide Accessibility Resources with a copy of the receipts for these books to fulfill copyright obligations.*

Requests for alternative format must be made in a timely manner prior to when the materials are needed.

Requests for BOOKS must be made TWO WEEKS prior to date needed for timely delivery.

If you are unable to complete this form due to your disability, please contact the Director of Accessibility Resources and assistance will be arranged.

Please allow time for your submission to process after you click "Submit Form". This will prevent multiple submission from being made.

If you do not receive confirmation to your email that this form was submitted successfully, please contact the Accessibility Resources Office.