Forms and Documents (Q)

Due to Covid-19, all appointments and interactions have been moved online. Instructions have been modified to take this into account. 

Forms

All forms must be filled out and returned to SAS by emailing pssdinfo@peralta.edu. If at all possible, please fill the forms out electronically.

You can download Adobe Reader here for free.

If you have trouble filling out the electronic forms, please contact pssdinfo@peralta.edu

Mandatory forms:

  1. Application for Services: PDF fillable application
  2. Authorization to Exchange Information: PDF fillable Authorization to exchange information || Word fillable authorization to exchange information
  3. Voter preference form. (“Would you like to register to vote?”)

Other forms:

Documentation should be emailed to pssdinfo@peralta.edu.
Please attach documentation directly to the email. Documentation sent through Google Drive is often inaccessible due to incompatibility with Microsoft Outlook.

Until we get Docusign up and running, please include a statement confirming that you are applying to our program, and agree to the Student Responsibilities and Agreement in the application. 

All disability related information is provided by students and is kept strictly confidential. This information is accessible to PSSD only.

Documents

Policy Guidelines for Services