Accessibility Barrier Reporting Form

The information you submit through this form is collected and actively monitored by the Director of Disability Services. Completing the Accessibility Barrier Reporting Form does not constitute a formal complaint or grievance.

You may complete this form anonymously, but providing your contact information will allow us to better address and respond to your concern. If your concern is time sensitive, you need assistance with the form, or simply prefer to contact the Director of Disability Services directly, please e-mail [email protected] or call (617) 573-8034.

 
Required fields are marked with an asterisk (*)

Barrier Reporting Form

Physical accessibility
Digital accessibility
Program or service accessibility
Other

Contact Information

Student
Faculty
Staff member
Visitor
Wish to remain anonymous

Please share your contact information

Myself
Another member of the Suffolk Community