Disability Impact Statement

Download this Disability Impact Statement : DOC : 110KB.

<Student given name> <Student family name> SN <Student number> has submitted documentation from a relevant health professional to the Disability Liaison Unit detailing the nature and impact of a disability.

This document outlines adjustments the Disability Liaison Unit considers as reasonable under disability discrimination legislation. Should the nature of the academic requirements of a course or program make it difficult or inappropriate to implement the recommended strategies, please contact <Disability Liaison Officer> on 8344 7068 or <DLO email address>.

<Student given name> will approach you directly to discuss whether and how the recommended reasonable adjustments can be implemented.

The information in this document should be treated as confidential and used in accordance with the University Privacy Policy. Do not distribute this form to others unless distribution is directly related to providing a reasonable adjustment.

<Student given name> has a <Disability Category> which results in difficulties in undertaking the following academic related activities.

The Disability Liaison Unit recommends that implementation of the following strategies would constitute a reasonable adjustment.

In addition to these strategies, the Disability Liaison Unit has recommended that <Student name> obtain the following Alternative Examination Arrangements. Similar arrangements may be appropriate for other assessment in accordance with the Guidelines for Alternative Examination Arrangements for Students with Disabilities. For further information contact your Faculty Disability Contact Officer.

The recommended Reasonable Adjustments are valid until <expiration date>.

<Disability Liaison Officer Signature>
<Disability Liaison Officer>

top of page