NCCAOM®
2001 K Street NW, 3rd Floor North,
Washington DC, 20006
Phone: 888-381-1140 | Fax: 202-381-1141
CANDIDATE REQUEST FOR ADA ACCOMMODATIONS
If you are requesting accommodations under the Americans with Disabilities Act (“ADA”), complete this entire form. This form consists of four (4) parts, and must be completed in a single session. Once the “Submit” button at the end of the form is clicked, all data is saved and the form is received by NCCAOM staff.
Please note: If you did not receive ADA accommodations at your school, you will be required to upload supporting documentation from a medical professional who diagnosed you with your disability.