Assignment Extension Request | Student Disability Services

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Student Information
Today's Date*
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Student's Name*
First Last
Best Contact Number*
UTK Email Address*
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Assignment Information
Course Information*
Please include course name, number, and section.
Brief Description of Assignment*
Reason for extension request*
Have you discussed this extension with your professor?*
Please explain what was discussed*
Please upload a copy of the course syllabus*
Accepted file types: jpg, pdf, doc, docx, png, , Max. file size: 2 MB.
Date assignment was given*
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Date assignment was originally due*
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Proposed extension date (new due date)*
MM slash DD slash YYYY
Have you started the assignment?*
Please attach what you have completed thus far.
Drop files here or

Accepted file types: jpg, png, docx, pdf, xlsx, Max. file size: 5 MB.
Professor's Information
Professor's Name*
First Last
Professor's Best Contact Number*
Professor's Email*
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Teaching Assistant's Name (if applicable)
First Last
Teaching Assistant's Email (if applicable)
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Student Information