Banacos Important Forms and Documents

Your Banacos Toolkit: Explore the Forms, Documents, and Manuals for a Smooth Journey at Westfield State University

Condition Verification Form

This form should be given, along with the documentation guidelines, to an appropriate medical or mental health practitioner. This form is designed to substantiate the existence of a physical, medical or mental health condition, its duration, functional limitations, and recommendations for reasonable accommodations

Condition Verification Form

Disabilities Notification Form

This online form is for new students to disclose that they have a disability.  A Banacos advisor will reach out to you to tell you more about our services.

Disabilities Notification Form

Disability Services Manual

This guide is for students to have a comprehensive understanding of the services offered by Disability Services and how to access these services. The guide includes tips for organizing work, talking with professors and studying among other useful tips.  

View the Disability Services Manual

Disability Services Registration Form

This form is for students to register for services with Disability Services.

View the fillable PDF form
View the large print form

Documentation Guidelines

This document is for students and practitioners to follow when writing documentation in support of students’ requests for reasonable accommodations.

View Documentation Guidelines

Electronic Text Request

This request form is for students to submit when requesting electronic texts. Please submit this document when you register for courses at least four business weeks prior to the first day of class to have texts prepared in a timely manner.

Fillable PDF Electronic Text Request
Large Print Electronic Text Request

Emergency Evacuation Assistance Online Form

This online form is for students and guests who may require assistance exiting a building during an emergency.

Emergency Evacuation Assistance Online Form

Exam Time Reservation Online Form

This online form is for students with approved reasonable accommodations, this form allows you to reserve your exam time at the Banacos Academic Center and communicate your chosen accommodations. Ensure a smooth process for every exam or quiz by submitting this form for every exam or quiz you plan to take at the Center.

Exam Time Reservation Online Form

 

Extended Time on Assignments Agreement

This agreement is for students and instructors to use to help to determine and document a reasonable and individualized approach to providing extended time on assignments. 

Extended Time on Assignments Agreement

Faculty Recording a Class and Reasonable Accommodations Regarding Recording a Class (Photo, Audio or Video)
Guide to Creating Access: Accommodating and Teaching Students With Disabilities

This guide is for faculty and staff to have a comprehensive understanding of the rights, responsibilities and processed involved in accommodating students with disabilities in addition to suggestions for teaching techniques.

View the Guide

Learning Disabilities Program Manual

This manual is for students to have a comprehensive understanding of the services offered by the Learning Disabilities Program and how to access these services. The guide includes tips for organizing work, talking with professors and studying among other useful tips. 

Learning Disabilities Program Manual 

Note Taking Services Request Form

This form is for students to request note takers for specific classes.

Note Taking Services Fillable Request Form
Note Taking Services Large Print Request Form

Photographing or Recording Lectures Agreement

This agreement is for faculty and students to use when a class is to be recorded by the faculty or student. The agreement must be maintained by both the faculty and student. If the student is approved for recording as a reasonable accommodation, the agreement must be sent to the student's Banacos advisor as well. 

Photographing or Recording Lectures Agreement

Reasonable Accommodations Request for Disability Services

This form is for students to use to request reasonable accommodations. This form must be submitted by the student to their Banacos advisor every semester.

Reasonable Accommodations Online Request Form
Reasonable Accommodations Fillable Request PDF
Reasonable Accommodations Fillable Request Large Print Form

Service and Support Animal Handler CDC Guidelines

Handler guidelines during COVID-19 by the Center for Disease Control.

Service and Support Animal Handler CDC Guidelines PDF

Support Animals in the Residence Halls, Handler Guidelines

Students approved to have an accommodation of a support animal must follow these guidelines.

Support Animals in the Residence Halls, Handler Guidelines

Campus Globe against cloudy blue sky

Contact Us

Disability Services
Access Advisor
Parenzo Hall - Banacos Academic Center
Campus Globe against cloudy blue sky

Contact us

Banacos Academic Center
Learning Disabilities Program
Parenzo Hall - Banacos Academic Center