Closed Captioning Videotape Request

Instructors and Library staff, if there is a video tape you would like to see captioned, please fill out the this form and click the "submit form" button. If you are a student, please use the Alternate Media Request Form. If you are curious about what closed captioning is, please visit the alternate formats page.

Instructor Information:

Name:
Department:
E-mail address:
Phone number:

Course & Video Information:

Course name & number:
Video Title:
Video Publisher:

Location of Tape:

Library	Instructor's Office
Department Office	Academic Support Lab
Nursing	ELIC
Other Location, please specify:

Other Information:

Check here if a student with a hearing disability is enrolled in your course

Date Captioned Tape Needed

I use classroom please let me know if the video equipment in this room can display closed captions.

Comments:

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