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Emergency Notification

E-text Confirmation Form

You can confirm your alternative format requests without a receipt using this form. Completing this form will allow us to begin working on your files as soon as possible.

By submitting this form you are confirming that you plan to stay enrolled in the class(es) for which you made an E-text request. Please indicate which textbooks you need and plan to purchase by book title. The AMPC will not work on digital textbooks. 

  • I understand that I need to submit proof of payment for print books to the AMPC as soon as possible and prior to receiving any copyrighted material.
  • I understand that I cannot return textbooks that have been delivered by the AMPC if I still plan to use the alternate format E-text.
  • I understand that I must delete alternate format E-text upon returning rental books or no longer having possession of the print book.
  • I understand that I do not need to submit receipts for books obtained from Bookshare.  Books that have been found to be available from Bookshare are identified on the OSD Online Services in the Alternative Format section after your requests have been processed. Alternatively, you can check if a book is available through the Bookshare website without logging in.
  • I understand that to assure there is enough time to produce and/or deliver my files for the Fall Semester 2022, I must confirm textbook titles through this E-Text confirmation form on or before July 29, 2022, in order to receive my files on time. Requests and confirmation of textbook titles submitted after 7/29/2022 will be considered late. 

Please be aware that production on your instructional materials will not begin until your classes have been verified through your accommodation requests on the OSD Online Services and you have confirmed the books you plan to purchase or purchased on your behalf or receipts have been submitted. Late requests will not be processed unless confirmed. Late confirmations or late submissions of proof of payment may experience a delay in E-text delivery time.

You can obtain book titles listed for your courses through the Cal State LA Bookstore. In regards to recommended books, please check the option ONLY if you plan to purchase them as well and submit the book title.

Please enter your first name
Please enter your last name
Please enter you CIN
Please select the Semester Term you are confirming. (You need to submit a new form for each individual term)
Confirmation
I confirm that I will stay enrolled in the following classes and will be purchasing all of the textbook titles, if needed, confirmed through this form.
I confirm that DOR or another agency will be purchasing or providing funding to purchase my books.
A current Bookshare user already has a Bookshare Account and understands that they do not need to submit receipts for books obtained from Bookshare. They have met with the Coordinator and have signed a Release of Information Form.
A new Bookshare user does not have a Bookshare account nor have they made an appointment to discuss Bookshare nor signed a Release of Information form.
First Class
Please select the First Class Subject
Please enter the First Class Number
Please enter the First Class Section
Please enter the book title's you are requesting for the First class.
Please select to add information for Second class
Second Class
Please select the Second Class Subject
Please enter the Second Class Number
Please enter the Second Class Section
Please enter the book title's you are requesting for the Second class
Please select to add information for Third class
Third Class
Please select the Third Class Subject
Please enter the Third Class Number
Please enter the Third Class Section
Please enter the book title's you are requesting for the Third class
Please select to add information for Fourth class
Fourth Class
Please select the Fourth Class Subject
Please enter the Fourth Class Number
Please enter the Fourth Class Section
Please enter the book title's you are requesting for the Fourth class
Please select to add information for Fifth class
Fifth Class
Please select the Fifth Class Subject
Please enter the Fifth Class Number
Please enter the Fifth Class Section
Please enter the book title's you are requesting for the Fifth class
Please select if you will add information for Sixth class
Sixth Class
Please select the Sixth Class Subject
Please enter the Sixth Class Number
Please enter the Sixth Class Section
Please enter the book title's you are requesting for the Sixth class
Please select if you will add information for a seventh class

Please submit another form to include additional class information