Wolters Kluwer Alternate Text/Disability Request Form

Alternative Format Request Form
What type of book request?*
For students with a documented disability, visual impairment or other accessibility needs that need an alternative text format for Aspen Law, Legal or Regulatory book, please visit Access Text Network. For any questions, please email: legaledu@wolterskluwer.com or visit their website Wolters Kluwer Legal
For tax/accounting alternative text requests for students with a documented disability, visual impairment or other accessibility needs, please email CCH Customer Service with proof of purchase of the print book: cchcustomerservice@wolterskluwer.com
Wolters Kluwer has partnered with AccessText Network to fulfill alternative text requests for our health and medical published content. If you are requesting alternative files for a student with a documented disability, please make a request on the AccessText Network. AccessText membership is a free membership to post-secondary educational institutions throughout Canada, the United States, and its territories. In order to be eligible, you must be a staff or faculty member from an accredited post-secondary institution in order to apply. If you are not a member, please sign up for their free membership at www.accesstext.org.

First Time ATN member? Please visit AccessText Network How To Guide

For any questions, please email info@accesstext.org
Our institution resides outside of USA, Canada or its territories, thus we are ineligible for AccessText Network membershipI am eligible for AccessText Network, however I cannot locate the title(s) for which we need for the student.
If you are unable to locate the requested text on AccessText Network and have come across the below screen shot, please manually add the title so we can search the title on our end. When adding the title, please be sure to enter the full book title, 13 digit ISBN (please no dashes or spaces) and publisher as identified with the red astericks.

Please Remember: If you are requesting for content that is associated with a bundle pack or package, please search by the textbook ISBN.

Requestor's Name*

PrefixFirst NameLast Name
Requesting Institution*
University, School, Institution or Organization Name
Institution Address*

Street Address

Address

CityState / Province

Postal / Zip CodeCountry
Phone Number (Optional)

Area CodePhone Number
Requestor's Institutional Email*
Note: Must be a valid educational or institutional email address (.edu, .org, etc)
Author*
Book Title*
Edition*
ISBN (without dashes)*
13 Digit ISBN (begins with a 978-)
Do you have additional books to request?*
Additional Books Needed*
Author*
Title *
Edition*
ISBN (without dashes)*
13 Digit ISBN (begins with 978-)
Author*
Title *
Edition*
ISBN (without dashes)*
13 Digit ISBN (begins with 978-)
Author*
Title *
Edition*
ISBN (without dashes)*
Author*
Title *
Edition*
ISBN (without dashes)*
13 Digit ISBN (begins with 978-)
Author*
Title *
Edition*
ISBN (without dashes)*
13 Digit ISBN (begins with 978-)
Are you the faculty, staff or appropriate contact requesting this on behalf of the student?*

YesNo
Does the student have a documented disability?*

YesNo
Has the student or the school (on behalf of the student) purchased a copy of the textbook(s)?*

YesNo
Is this your initial request of the above title(s)?*

Yes, this is our first request.No, we are requesting to redistribute files we already have.
Notes/Comments [optional]

Should be Empty:

Alternative Format Request Form