EIR EXCEPTION REQUEST FORM

Directions: Please complete the form fields below to an initiate a request for an EIR exception. After submitting, the University EIR Coordinator will review and prepare the EIR Accessibility Exception Request Form for completion using DocuSign. It will be routed to all of the signatories below. Please allow 1-2 business days to receive the request form via email.

In order for an exception to be considered, requesters will also need to submit a current Voluntary Product Accessibility Template (VPAT) for the product to the University EIR Coordinator. More information about the EIR process is available on the EIR web page.

Name of Requester*

The Requester is the individual who will complete the EIR Exception Request Form.

Requester's Email Address*

Name of Department Head / Chair*

Provide the name of the Department Head / Chair of the unit requesting the EIR.

Department Head / Chair's email address*

Name of Vice President / Dean*

Provide the name of the Vice President / Dean of the CSU requesting the EIR.

Vice President / Dean's email address*

Name of EIR / Product*

What is the formal product name of the EIR being procured?

File Upload

We require a current VPAT to evaluate the accessibility of this Electronic and Information Resource (EIR). Please upload the VPAT for our review.

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