Public Accommodation Request

* indicates a required field

Student Information

Please enter your information

Include only the 8 digits of your H#

Please use your HVCC issued email address (ex.

Will you be enrolled full time?Required

Specific Accommodation Information

Special Mobility Needs

Accessible Classroom
Emergency Evacuation

Outside Agency Information

Are you working with an outside agency?
Upload supporting document(s)

Click Here to access the Release Authorization Form. This form, along with your supporting documentation must be submitted before accommodations can be approved.