Disability Support Services

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Release/Disclosure Authorization Form

Release/Disclosure Authorization Form is available in PDF format (which requires Adobe Reader). Alternative formats are available upon request by emailing disability@wiu.edu, calling 309/298-2512 or TT 309/298-1856.

Download the Form

• Download PDF version of the form

Disability Support Services
117 Seal Hall • 1 University Circle
Macomb, IL 61455

E-mail: disability@wiu.edu • Phone: (309)298-2512 • Fax: (309)298-2361 • TTY: (309)298-1856

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