One Time Request of Support Services

On-line submissions are not secure. It is extremely unlikely this form would be intercepted, but if utmost confidentiality is a concern, please use the PDF or MS Word template version which can be submitted in person, by mail, or by fax. See the Contact Us page for address and phone numbers.

Important! You should see an acknowledgment of your submission. Examine it carefully for errors. If you find any, or do not see an acknowledgment, contact the SDC at (530) 752-3184 (voice).

Request For:                 


If you have any questions, please contact Russ Zochowski, Disability Specialist for Deaf & Hard of Hearing Students at 752-3184 (voice).