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Accessibility and Disability Resource Centre

ADRC

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Concern, Incident, and Matter Report Form

Accessibility and Disability Resource Centre

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Name of student(s) concerned *

CRSid of student (if known)

Name of person submitting CIM *

Email of person submitting CIM *

Date of CIM *

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Month

Day

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Is the student aware that you are submitting a CIMR? *

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Give full description of the concern or incident *

Please provide as much detail as possible as to what happened.

Describe the action taken to resolve the concern or incident *

Opening Hours

Monday to Thursday 9am-5pm

Friday 9am-4pm

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Accessibility and Disability Resource Centre

Student Services Centre

Bene't Street

Cambridge, CB2 3PT

01223 332301

disability@admin.cam.ac.uk

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