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Candidate Form
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I. Background Information
Name:
LSAC Account Number:
Date of Birth:
Address: Street
City, State, Zip/Postal Code:
Test Date for Which Accommodations Are Requested:
Registered Test Center:
Have you previously requested accommodations on the LSAT? Yes No
Indicate test date(s) for which accommodations were previously requested:
II. Nature of Your Disorder/Condition (check all that apply, and provide specific diagnosis if available)
Visual Specific diagnosis
Physical/medical Specific diagnosis
Neurological Specific diagnosis
Psychological Specific diagnosis
Hearing Specific diagnosis
Other Other diagnosis
III. Prior Testing Accommodations—Complete this section only if you are requesting accommodations under LSAC’s
Policy on Prior Testing Accommodations
A. Were you previously approved to receive testing accommodations on one or more eligible tests? Yes No
If No, then move to Section IV and do not complete the remainder of this section.
B. Are you requesting one or more of the listed LSAT accommodations, and are these identical or equivalent to the
accommodations you were previously approved to receive on an eligible test? Yes No
If No, then move to Section IV and do not complete the remainder of this section.
C. [If you answered Yes to III.B] Do you certify that you are currently experiencing the functional limitation(s) caused
by the disability(-ies) for which you were previously approved for testing accommodations? Yes No
If No, then move to Section IV.
D. [If you answered Yes to III.C] Submit proof from the test sponsor that details the specific testing accommodations
for which you were approved.
Revised 10-17-2019
Candidate Form Page 2 (C2) of 3
Candidate Name:
LSAC Account #:
IV. Accommodations Requested
Test Accommodations: The following is a non-exhaustive list of test accommodations that may be available for
the LSAT (multiple-choice sections) and LSAT Writing. If you are requesting an accommodation that is not listed,
mark “Other” and explain the accommodation in detail. You must specify the accommodations you are seeking
on both the LSAT and LSAT Writing below.
LSAC does not offer an untimed test. The standard timing of each section is 35 minutes. The amount of additional
test and break time requested must be specified.
ACCOMMODATIONS REQUESTED FOR THE LSAT (multiple-choice sections):
A. Additional test time on multiple-choice sections
50% additional time (i.e., time-and-a-half, or 53 minutes per section)
100% additional time (i.e., double time, or 70 minutes per section)
Other Please specify:
B. Additional rest time between third and fourth sections (standard break is 15 minutes)
The number of minutes of additional rest time must be specified:
C. Breaks between other test sections
The number of minutes of breaks between each section must be specified:
D. Stop/Start Breaks (as needed)
E. Use of a human reader (provided by LSAC) Policy on Readers for Visually Impaired Test Takers
F. Use of electronic screen-reader software
Note: Testing with a screen reader involves the use of candidate-provided computer and software,
which must be brought to the test center by the candidate. An electronic HTML-based version of the
test is provided by the Test Center Supervisor on a USB flash drive. Responses must be recorded on
a paper answer sheet by the candidate or an amanuensis.
G. Use of an amanuensis (scribe provided by LSAC)
H. Sit/stand With a podium (candidate provides podium)
I. Wheelchair accessibility
If table is requested, specify height:
J. Braille format Specify: UEB EBAE
K. Paper-and-pencil format Specify: Regular Print Large Print (18 pt. font)
Alternate non-Scantron answer sheet
Mark answers in test book
L. Other Please specify other requested accommodations:
Candidate Form Page 3 (C3) of 3
Candidate Name:
LSAC Account #:
ACCOMMODATIONS REQUESTED FOR LSAT WRITING (the Writing Sample portion):
NOTE: Some accommodations for LSAT Writing will be delivered in a test center (e.g., paper-and-pencil format,
braille format, stop/start breaks, human reader, amanuensis).
With computer-based LSAT Writing, candidates may utilize their own accessibility software programs as
needed without prior approval (e.g., JAWS, ZoomText, Kurzweil 3000, VoiceOver, and speech
recognition software).
A. Additional test time on LSAT Writing
50% additional time (i.e., time-and-a-half, or 53 minutes)
100% additional time (i.e., double time, or 70 minutes)
Other Please specify:
B. Stop/Start Breaks (as needed)
C. Use of a human reader (provided by LSAC) Policy on Readers for Visually Impaired Test Takers
D. Use of an amanuensis (scribe provided by LSAC)
E. Paper-and-pencil format Specify: Regular Print Large Print (18 pt. font)
F. Braille format Specify: UEB EBAE
G. Other Please specify other requested accommodations:
V. Please note that this form is part of the law school admission process. Candidates are responsible for the
completeness and accuracy of the information provided on this form and are subject to the misconduct and
irregularity policies as described at LSAC.org.
I certify that all of the information on this form is true and correct.
Signature:
Date:
If you are unable to sign this form, please have someone sign and date it in your presence.
Signature:
Date:
© 2019 Law School Admission Council, Inc. All rights reserved.
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Completed 9 February 2021

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