This form is to be used to report a disability-related access complaint and to serve as a means of accepting, researching, and resolving such complaints received by the schools ad departments. Please fill out this form to the best of your ability.

NOTE: IF THIS COMPLAINT IS CONSIDERED AN EMERGENCY, PLEASE CALL 911

If you have any questions regarding this form, please contact the Office of Services for Students with Disabilities at 661-654-3360

Dr. Beth Rienzi, Section 504 Compliance Officer/ADA Coordinator
Janice Clausen, Services for Students with Disabilities Director (jclausen@csub.edu)