Request to Notify Instructors of Accommodations

Submit this form ONLY if you have provided documentation of your disability, met with a DSS staff member, and been approved for accommodations at BCTC. If you have not met with a DSS staff member and would like to schedule an appointment to discuss services, call 859-246-6535 or 1-866-774-4872 extension 56535 toll-free or send an e-mail to

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*By submitting this form, you authorize Disability Support Services at Bluegrass Community and Technical College to release to testing personnel and the instructors indicated above information regarding reasonable accommodations that may be required by you in these courses. You understand that all such information will be treated as confidential and used only for the purpose of providing academic accommodations, except as necessary for the administration of the Disability Support Services program.