Title IX Pregnancy & Related Conditions Request Form

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Title IX Pregnancy and Related Conditions Request Form

Pregnancy and related conditions encompasses pregnancy, childbirth, miscarriage, termination of pregnancy, false pregnancy, lactation, or recovery from any of these conditions.
Disclosure of pregnancy or related condition status is voluntary and not required.
The Title IX Office will generally not request documentation regarding pregnancy or related conditions unless the documentation is necessary for the Title IX Office to determine the reasonable adjustments to make or whether to take additional specific actions.
Submission of this form in no way implies that requests contained in this form will be approved as submitted.
Requests for adjustments that would fundamentally alter the academic objectives of a course or program or that would cause an undue hardship on the university may not be granted.
The Office of Disability Services is available to students who experience a temporary or permanent medical condition or disability arising from or exacerbated by pregnancy or related conditions.

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