Exam Accommodations Request Form

Use this form for requesting accommodations for any RID Exam.

Candidate Information
Name*
First Last
RID Number*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Requested Accommodations
Accommodations must be appropriate to the disability within the context of the examination tasks and setting. Please indicate the specific accommodation(s) requested and provide a rationale for each. (Please note that requesting a non-specific accommodation(s) such as “extra time” or “maximum allowable time” will delay the review of your request.) Examples of specific accommodations include “25% extra testing time” or ”a reader to read aloud all questions and answer choices”.
Name of Exam*
Accommodation Requested*
Rationale*
Accommodation Requested
Rationale

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Candidate Information