/For Students/Request Forms/Consent to Share Documentation

Consent to Share Documentation

By completing this form, you authorize Accessibility Resources and Service at the University of North Carolina at Chapel Hill to share documentation as you request it in this form.

The information / documentation may include:

documentation regarding your disability and/or medical conditions
The information that was used to determine and manage services and accommodations at UNC Chapel Hill in the post secondary education setting (as outlined by Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990).
accommodation information
A detailed letter listing the accommodations, resources, and services you are/were eligible for as a student, determined by ARS based on a thorough review of your documentation.

Information will be shared on a one-time-only basis. You can choose to request a copy of your information for your own records if you may need to frequently share it with third parties.

Consent to Share Documentation Form

First Name

Last Name

PID (your 9-digit student number)

UNC Email Address

Phone

Information Disclosure

Who would you like us to send it to?

Me, the Student

UNC Study Abroad Office

Another Person

Another University

Testing Organization (for GRE, MCAT, LSAT, etc.)

Send to UNC Study Abroad Office

ARS will email the requested information to UNC Study Abroad at accessibilityabroad@unc.edu.

What information would you like us to send?

Select all that apply.

Other (please specify)

How would you like us to share it?

Email

Pickup at ARS Office

Other (please specify)

Recipient or Organization Name

Recipient Email

Who will be picking it up?

ARS is open weekdays from 8 AM - 5 PM. The specified pick-up person will be required to show identification.

Testing Organization Form Submission

If a testing organization needs ARS to fill out a form regarding your accommodations history, please make sure you thoroughly read the guidelines on the testing organization's website then upload any necessary forms below.

File Upload

Choose File

Confirmation

By providing my UNC PID, I affirm that I am electronically signing this document and consent to conducting this transaction by electronic means.

PID (your 9-digit student number)

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