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Alternative Format Request Form

Alternative Format Request Form Instructions

Please note that you will still need to bring in the textbook and

proof of purchase in order for us to process your request.

Please allow 4 to 6 weeks for delivery of alternative format.
Instructions: Complete a SEPARATE form for EACH REQUEST submitted.
Please note that fields with an asterisk (*) are required.
 
REQUESTOR INFORMATION
 
 
 
 
 
 
   
   
COURSE INFORMATION
 
*Semester:

 
* Example: BIO 160
* Example: J.W. House
MATERIAL INFORMATION
 
 
*Material Type:

Other: Input Other Material Type

 
*Format Requested:
Audio/Digital Audiobook (must be requested from Learning Ally/Bookshare)
Braille
PDF (from Publisher)
Kurzweil 3000
Large Print
Word (Rich Text Format)
 
 

Note:   Press the "Continue" button to continue.

The request will not actually be submitted until you have reviewed the

information and you press the "Submit" button on the second confirmation page.

Please inform SSWD at sswd@csus.edu if you  encounter any problems 

accessing the SSWD web site.