BAR/BRI’s policy to comply with the Americans with Disabilities Act of 1990 (ADA) includes the provision of appropriate auxiliary aids and services to students with disabilities to ensure effective communication.

If you have a disability and would like to request an accommodation under the ADA, please complete this form and submit it to

BAR/BRI Patent Bar Review
1150 18th ST, NW
Washington, DC 20036

All requests must be in writing. Promptly after BAR/BRI’s receipt of this form, you will be contacted to discuss your request and gather additional information if necessary. To give BAR/BRI sufficient time to evaluate your request for an accommodation, please return your form immediately. It may be difficult to provide accommodations to you in a timely manner if we don’t receive your request at least 90 days before the course begins.

Type of Disability:

Accommodation Requested:

State Exam:

Lecture Site:

Date Course Begins:

Name:

Street Address:

City, State, Zip Code:

Telephone:

E-mail:

1. Please describe the nature of your disability in detail as it relates to your request.

2. What type of auxiliary aid or service has been provided to you during law school? Did you use this aid or service throughout all your law school classes?

3. Please submit documentation that such aid or service was provided. A letter from the appropriate official at the law school or vocational rehabilitation agency is satisfactory for this purpose. You may submit this documentation separately from this form.

4. Are you requesting a different type of auxiliary aid or service than was provided to you in law school? If so, please explain the reason for the change.

5. What accommodations, if any, are you requesting from the state Bar Examiners?

Signature:

Date:

Any questions? Please call the BAR/BRI ADA office at (202)728-2271 or (877)728-2271 between 9 a.m. - 5 p.m. central time.

Return this form to

BAR/BRI Patent Bar Review
1150 18th ST, NW
Washington, DC 20036

© 2002 BAR/BRI Patent Bar Review