HHA Crisis Support Registration Form
For uOttawa students who have experienced a recent, sudden, loss of a loved one and require academic support (i.e. exam deferral, SASS accommodations, etc.)
Student Details:
Full Name
*
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
*
example@uottawa.ca
Student Number
*
Faculty
*
Course & Professor Information
*
Rows
Course Code
Section
Professor
Faculty
A
B
C
D
E
F
G
Death Certificate/ Obituary (for Faculty consultation only)
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