Captioning Request Form

1 Contact Information 2 Media Information 3 Additional Info 4 Complete

Captioning Request Form

List below all titles of films or streaming/online video URLs to be used for your course and any related information.

Please make arrangements to drop off and pick up the media at the Universal Design Tech Lab (UDTL). We are located in Room 200 in the Howe Library.

Please remember to allow 1 week for captioning videos/media over 10 minutes and 2-3 business days for short videos less than 10 minutes. Although we strive to satisfy all requests, we cannot guarantee captioning outside these timelines.

Type of Request

UVM Course (A student enrolled in course who is eligible for captioning)

UVM Course (No students enrolled in course who are eligible for captioning)

UVM Affiliated Event (example: lecture, panel discussion, film screening, etc.)

Other

Name

Phone

Course

Course Location

Name of eligible Student, Faculty, Staff requesting captioning

Return File Format *

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Math question * 4 + 10 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Center for Academic Success

Center for Academic Success

Captioning Request Form