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Medical Exemption Request Forms
Request Form
Request Form

Housing Contract Exemption & Appeal
Supplemental Financial Need Verification Form
Supplemental Financial Need Verification Form

Housing Exemption Request Process

Types of Exemptions

Students seeking an exemption need to supply;

  • A written statement addressed to the director of residence life explaining the medical reason they are seeking an exemption.
  • The medical exemption physician's form must also be filled out and returned to the office

Deadline dates for receipt of all medical exemption information;

  • July 14 for the upcoming fall semester from existing students
  • December 3 for the upcoming spring semester from existing students

Exemption requests from new to DSU individuals will be addressed on a case by case basis.

Exemption requests will be reviewed by a campus committee consisting of;

  • Director of residence life
  • Assistant director of residence life
  • A representative from the student development office
  • A representative from the physical plant

Exemption committee meetings will be held;

  • 3rd week of December

Administrative promotion of medical exemption information;

  • 1st week of November
  • Last week of March

The foundation for committee decisions will be the form submitted by the physician and the written statement provided by the student. The committee has the option to request a conference call with the student, if necessary, to help them reach a decision.


Last Updated: 6/4/14