Alternate Format Textbook Request Form

Alternate Format Textbook Request Form

Many publishers make their accessible textbooks available to rent at VitalSource.com. If you have already purchased a textbook that is not accessible and need an alternate format, use this form to request that the Accessibility Services Office submit a request to the publisher on your behalf. Submit separate requests for each textbook needed.

Student's Full Name*

Last name, First name

Student ID*

Diagnosis/Reason for Request

Course*

Please list the name or number of the course for which you need a textbook in alternative format.

Title of Textbook*

Author*

The last name of the first author listed on the cover

Edition*

Select or enter value

ISBN

ISBN of the textbook, not the ISBN of a shrinkwrapped package of textbooks or materials; The ISBN is located on the barcode. It should be 13 digits beginning with 978...

Preferred Format*

We will request your preferred format, but receipt of material will depend on what the publisher has available.

Select or enter value

File Upload

Upload a copy of your receipt for the purchase of your textbooks. If requesting more than one textbook, you may upload a receipt for multiple textbooks to your first request rather than uploading the same receipt several times.

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.