North Dakota State University
Disability Services Problem/Complaint Form

Please complete this form to summarize the problem/complaint you are experiencing at NDSU Disability Services. Return this form to the Disability Services Coordinator, 212 Ceres Hall, NDSU, Fargo, ND 58105.

Name of Disability Services staff involved:

Beginning date of problem/complaint:

Describe the situation and nature of the problem/complaint. You may attach other pages as needed to describe the problem clearly and completely.

Identify the steps you have taken to resolve the differences between you and the involved DS staff.