Alternate Format Accommodations

Our Assistive Technology staff will work with publishers and instructors to provide alternate format copies of instructional materials upon request for those students who have provided documentation of a print-based disability to the HCC ADA counselors.

Instructions: complete a separate form for each request to be submitted. Please note the fields with an asterisk (*) are required. Any information missing may result in delaying request being filled. E-texts will be used solely for the eligible student’s own educational purposes and will not be copied or duplicated for use by others. Publishers will not provide tapes or audio.

Please request materials 30 days (minimum) prior to class start date. Requesting materials on first day of class or later in semester can delay actual receipt of materials from publisher. Depending on the format requested, materials can take up to 12 weeks to receive and distribute.

  • Student / Requestor Information

  • Your Houston Community College student ID
  • Your full name as it appears in the course roster
  • Your home telephone number
  • Your cell number if available
  • Your preferred email address
  • Course Information

  • Academic year in which the course will be taken
  • Academic term in which the course will be taken
  • Select the college where the course will be taken
  • Example: ENGL 1301
  • Example: 54321
  • Provide the name of the professor teaching the course
  • Material Information

  • This will be a 10 or 13 digit number.
  • Purchase Information

  • Attach a scanned copy of your textbook receipt (purchase or rental) for each book being requested (.gif, .jpg, .png, .pdf) as proof of purchase/rental. Maximum upload size is 2mb.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf.
  • Agreement

  • Entering your name in the box below will serve as an electronic signature.
  • This field is for validation purposes and should be left unchanged.