This form is intended for users of the University of Manitoba Libraries who are not current students. Students may register with Student Accessibility Services in order to request materials in an accessible format.

Eligibility Criteria:

  1. You must have an active account with the UM Libraries.
  2. You require library materials in a particular format due to a print disability, in accordance with Section 32 of the Canadian Copyright Act. This includes any disability resulting from:
    1. severe or total impairment of sight or the inability to focus or move one's eyes;
    2. the inability to hold or manipulate a book; or
    3. an impairment relating to comprehension.
* Indicates a "required" field.

Print Disability Declaration Form

1. Login
2. Register for alternate format services
Is this a long-term or temporary disability? *

Notice Regarding Collection, Use, and Disclosure of Personal Information by the University

Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purpose of completing your request for accessible library resources, and for communication. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.

The Libraries reserve the right to request proof of disability at any time, which may include a CNIB number or a signed letter from a health care professional, social worker, or other authority.

Please note that all use of materials provided by the University of Manitoba Libraries must follow our Conditions of Access.

By submitting this form, you confirm the following: *

Privacy Statement from the Libraries