Complete and submit this form in its entirety.
I have reviewed the Rights and Responsibilities. My submission of this form signifies I have read and agree to my Rights and Responsibilities.
If you are requesting an Emotional Support Animal (ESA) as an accommodation, please go to the ESA request form.
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All official University business will be conducted via MSUM email accounts. It is essential that you access, read and use your go.mnstate.edu account.
Documentation from a qualified professional must be shared with Accessibility Resources.
If you do not receive a copy of this form in your email that this form was submitted successfully, please contact the Accessibility Resources Office.