Accommodation Information Request Form

I do not have an ePantherID

A UWM email (ePantherID) is required to complete any accommodation applications. If you do not have an ePantherID, complete this form to speak to someone about accommodations.

"*" indicates required fields

Name*

Enter First then Last name

First Last

Email*

Enter email address

Phone*

Enter phone number in 10-digit format

I prefer to be contacted by*

Choose Email or Phone

Phone

I have questions about*

Select one or all three: Academic Accommodations, Assistance Animals, University Housing Accommodations.

Academic Accommodations

Assistance Animals

University Housing Accommodations

Please provide more information about the nature of your questions.*

Type your questions and/or concerns in the box below.