Campus Accessibility Form

The University of Tennessee is committed to maintaining a barrier-free environment so that individuals with disabilities can fully access programs, services and all activities at UT.

Please complete this form and press the submit button. This form will be sent to the Director of Disability Services for review. If you provide us with your contact information you will receive an automated response indicating that your form has been received, as well as a response within 7-10 business days with a status report.

Nature of Concern:

Location of Concern:

Area of Campus	Building
Room Number (if applicable)	Street
Cross Street
Please describe the concern in detail. Be as specific as possible.
Please describe any suggestions you may have in solving this concern.
Does the nature of this concern pertain to a specific program or event? Yes No
If yes, please answer the following questions:
Program or Event	Date
Time
Once you submit the form, your identity will be protected and only known as the "webmailer@utk.edu". If you would like us to follow-up with you, please provide your contact information:
Name	Phone
Email

The following questions are used only for data gathering purposes and are not required.

Your relationship to the University	Do you have a disability?

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Campus Accessibility Form

Nature of Concern:

Location of Concern:

The following questions are used only for data gathering purposes and are not required.