Dream. Flourish. Succeed.
Laney College

Forms for application process

Forms for application process

FORMS REQUIRED FOR THE APPLICATION PROCESS

Due to Covid-19, we ask that students applying for accommodations, please send application and verification to Laneydsps@peralta.edu before the day of the appointment.

DSPS Release of Information

Choose one option for application:
DSPS application-Laney college 2020-21
Application in Word Doc
DSPS Application via FORMS

If the student does not already have verification stating his/her disability at home, they have the option to bring one of the following forms to their doctor or other verifying professional. The doctor/professional can either mail or fax it back to DSPS, or the student can bring the form back in a SEALED envelope.

Medical Verification Form
Psychological Verification