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Disability Support Services
2800 University Blvd. N.
Jacksonville, FL 32211
Phone: (904) 256-7067 -- Fax: (904) 256-7066
Guidelines and Release Form
Welcome to the office of Disability Support Services (DSS) at Jacksonville University (JU). To be
eligible for services at the DSS, a student must satisfy the definition of a disability as established by
the Americans with Disabilities Act of 1973. Section 504 defines a disability as a condition
which substantially limits one or more major life activities such as learning, walking,
seeing, hearing, breathing, caring for oneself, and working. To be eligible for
accommodations, a student must provide appropriate documentation of each disability that
demonstrates an accompanying substantial limitation to one or more major life activities.
The following guidelines are provided in the interest of assuring that professionals’ statement is
appropriate to document eligibility for support services. The student with a disability must provide
the office of DSS appropriate written documentation from a licensed professional in the field
concerning the specific diagnosis and expected limitations.
The documentation must be within the last 3 years. However, the DSS reserves the right
to make modifications to this time frame and due to the nature of the condition annual
documentation renewal may be needed.
I, __________________, hereby authorize the following information as well as any other
pertinent documentation to be forwarded to the office of Disability Support Services at Jacksonville
University for the purpose of determining my eligibility for academic accommodations.
Student’s Signature: Date: