Release of Disability Documentation

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Release of Disability Documentation
My signature below verifies that I requested a copy of my disability documentation
from my file in the Office of Disability Services Office (ODS)*.
I would like to receive the information via: (Please check)
____ Pick-up at the Office of Disability Services
____ Fax
# _______________________________
____Mail
Address:
_________________________________
_________________________________
____Scanned Copy (Sent to emarq email address)
________________________________________________________________________
Student Signature / Date
________________________________________________________________________
Printed Name / MUID
________________________________________________________________________
Office of Disability Services Representative / Date
*ODS will keep a copy of documentation in a secure location for 7 years after the
student leaves the university, after which time it will be securely destroyed.
Office of Disability Services Marquette University P.O. Box 1881 Milwaukee, WI 53201
Phone: 414-288-1645 Fax: 414-288-5799
ODS 07/2013
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