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Housing / Meal Plan Accommodation Request Form

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Your Information

If you do not know your ID#, please enter 0000000 (7 zeros)



Request Type


Please enter the semester and/or academic year, for example: Spring 2023 or Fall 2022/Spring 2023.

Request Options

Please select all that apply

Housing Accommodations Request Information


Please describe your disability and how it affects your needs in your living environment (in your own words). Please note that you will also be required to provide documentation of your disability signed by a licensed clinician, learning specialist or other qualified diagnostic professional that details your needs specific to your living environment.

Please select all that apply

Please list the type of accommodations you are requesting i.e. ADA accessible, Personal Care Attendant (unit access), etc.

Meal Plan Related Accommodations Request


Please provide detailed information about how you will be meeting your dietary needs while off the meal plan, including how you will prepare meals in the residence halls. If this information is included in your documentation, please share that in the textbox above.

Please provide a suggested menu of food you will eat. If this is included in your uploaded documentation, please share that in the textbox above.

Please share all medically related allergies or food sensitivities you should avoid. If this is included your uploaded documentation, please share that in the textbox above.
Upload Documentation
Please attach your documentation of your disability here (please note your documentation should meet CCA's documentation guidelines, found on on Access/Disability Services on portal.cca.edu).  

You can upload up to three files - to upload more than three files, please add them to a single zip file before uploading.



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Contact Information