Request Form - Students with Print Disabilities

If you are a student with a verified disability that prevents you from using standard instructional materials, please reach out to a Disability Service Provider at your school (or another school official) to request these materials on your behalf.

When making the request, your Disability Services Provider will need to provide the following documentation:

Confirmation of your enrollment in the course
Proof of purchase for the textbook

For students using screen readers or looking for simple text-to-speech functionality, Pearson provides accessible digital textbooks for most select titles. Students can instantly purchase and access these textbooks, which align with WCAG 2.2 AA standards, on their own.

These accessible eTextbooks include alternative text descriptions for images and figures, text that is readable with a screen reader or a refreshable braille display, and self-voicing text-to-speech. They can be used both online and offline, on both computers and mobile devices (iOs and Android).

Before requesting a file, please check to see if the title your student needs is available as an accessible digital textbook . Alternatively, if your student has already bought a print copy of a title in this program that they cannot return, please email Alternate.Textbooks@pearsoned.com and include the author, title, edition, and ISBN of the book your student bought along with a copy of their receipt, and we'll provide your student with free access to the accessible digital textbook.

PubFile Nexus is Pearson’s Preferred Service for File Requests from Disability Service Offices.
If you are eligible for PubFile Nexus membership, please place all requests for publisher files on PubFile Nexus where 80% of requests are fulfilled immediately. If you have any questions about PubFile Nexus, you can email pubfilnexus@gatech.edu or call 866-271-4968.

Eligibility for PubFile Nexus membership: An employee at a post-secondary institution who is tasked with providing accommodations for students with disabilities.
If you are not eligible for membership with PubFile Nexus, then you may submit your request via the form below. Please note it may take up to 10 business days for your request to be processed.

Requests may only be submitted below after Disability Services has verified the following:

The student has a documented disability.
The student is enrolled in the course the Title is required for.
The Title being requested is adopted (required) by the instructor as part of the curriculum
The student has purchased a print edition of the textbook or participates in a text rental/inclusive access program through the school

All Fields are Mandatory.

PART 1. Our Product Information

Title

ISBN

PART 2. Coordinator of Services/Responsible School Official and Academic Information

Coordinator's Full Name

Coordinator's Title

Phone

E-mail

Instructor's Name

Course Name

Course Start Date (mm/dd/yyyy)

Course End Date (mm/dd/yyyy)

PART 3. Purchase and Distribution of File

Although the file may have been previously provided for use by another student at your school, this request for use by another student must still be presented to Pearson.

Have you verified that the student or someone on the student's behalf has issued payment to the publisher for a print or electronic version of the textbook?

YesNo

Date of textbook purchase (mm/dd/yyyy)

Location of textbook purchase

Purchase Price Paid

Was this text provided to the student via participation in a school sponsored text rental program? (check yes or no)

YesNo

Are you requesting permission to redistribute a previously provided file to an additional student in need? (check yes or no)

YesNo

If you checked 'Yes' above please supply the request number from the transaction that previously supplied this file

PART 4. School and Student Information

Name of School

(Please provide full name of school and campus)

School Address

City

State

Zip Code

Country

Student Identifier

(You are required to provide an identifier that is unique to the individual student that is the subject of this request)

PART 5. Verification and Agreement

I verify and agree that:

The requesting school or disabled student has purchased the above named printed work (the 'Title').
The student is registered to take or attend the above course requiring the use of the Title.
The student has a disability that prevents him or her from using the Title.
The request is made or supported by the Coordinator of Services for Students with Disabilities or other appropriate school official.
The Title has been determined to be essential to the student's successful completion of the course.
The student and the school will not use or further distribute or copy the electronic files for the Title for any other purpose.
In using the electronic files provided by the Publisher, the disabled student, the College Disabled Student Services Office, or other student official, will abide by the Copyright Law of the United States of America, as amended (17 U.S.C. Sec 101 et seq.) and the applicable code of conduct and policy of the requestor's school.
Pearson Education, Inc. owns all rights to the Title and the electronic files for the Title, including copyright.The student and the school have only the right to use the electronic files for the purposes set forth in this request.

This file is being provided for use by one student with a disability at your institution who is the specific subject of this request. You agree not to otherwise reproduce, use, sell, transmit, publish, broadcast, or otherwise disseminate or distribute the file (or any version modified for accessibility purposes) to anyone, including but not limited to other students with a disability at your or any other institution, others in the same company, school, college or other organization, whether or not for a charge or other consideration, including but not limited to use in connection with the sale, retransmission, distribution, publication, broadcasting, circulation or other dissemination, for any purpose, whether commercial or otherwise, without the express prior written permission of Pearson Education, Inc.

EXCHANGE OF THIS OR ANY OTHER FILE, IN A MODIFIED FORMAT OR COPY THEREOF, IS A VIOLATION OF THE U.S. COPYRIGHT ACT. SEPARATE AUTHORIZATION MUST BE OBTAINED FOR EVERY USER OF THIS FILE, ITS MODIFIED FORMAT OR COPY THEREOF, AND SEPARATE PROOF OF PURCHASE OF THE TEXT MUST BE PROVIDED.

WE RESERVE THE RIGHT TO REQUIRE WRITTEN DOCUMENTATION REGARDING ANY INFORMATION PROVIDED ON THIS FORM.

Please read the following statement.By checking the box, you have made the following agreement:

I verify that the above answers and verifications are complete, true and correct and that by submitting this request and receiving the requested electronic file, I am agreeing to abide by these terms.

Requester's Full Name

Title (if any)

Requester's E-mail

Please provide a link to the school's website that shows your status as Disability Services Coordinator.

Comments (Optional)

For students using screen readers or looking for simple text-to-speech functionality, accessible digital textbooks for most select titles. Students can instantly purchase and access these textbooks, which align with WCAG 2.2 AA standards, on their own.

These accessible eTextbooks include alternative text descriptions for images and figures, text that is readable with a screen reader or a refreshable braille display, and self-voicing text-to-speech. They can be used both online and offline, on both computers and mobile devices (iOs and Android).

Before requesting a file, please check to see if the title your student needs is available as an accessible digital textbook . Alternatively, if your student has already bought a print copy of a title in this program that they cannot return, please email Alternate.Textbooks@pearsoned.com and include the author, title, edition, and ISBN of the book your student bought along with a copy of their receipt, and we'll provide your student with free access to the accessible digital textbook.

All Fields are Mandatory.

PART 1. Our Product Information

Title

ISBN

PART 2. School and Academic Information

Requester's Full Name

Requester's Title

Requester's Phone

Requester's E-mail

Instructor's Full Name

Course Name

Have you verified that a physical copy of the textbook has been allocated to the student?

YesNo

Student Identifier

(You are required to provide an identifier that is unique to the individual student that is the subject of this request)

Student's disability

School Name

School Address

City

State

Zip Code

Country

Part 3. Verification and Agreement

I verify and agree that:

The requesting school or disabled student has purchased the above named printed work (the 'Title').
The student is registered to take or attend the above course requiring the use of the Title.
The student has a disability that prevents him or her from using the Title.
The request is made or supported by the Coordinator of Services for Students with Disabilities or other appropriate school official.
The Title has been determined to be essential to the student's successful completion of the course.
The student and the school will not use or further distribute or copy the electronic files for the Title for any other purpose.
In using the electronic files provided by the Publisher, the disabled student, the College Disabled Student Services Office, or other student official, will abide by the Copyright Law of the United States of America, as amended (17 U.S.C. Sec 101 et seq.) and the applicable code of conduct and policy of the requestor's school.
Pearson Education, Inc. owns all rights to the Title and the electronic files for the Title, including copyright.The student and the school have only the right to use the electronic files for the purposes set forth in this request.

This file is being provided for use by one student with a disability at your institution who is the specific subject of this request. You agree not to otherwise reproduce, use, sell, transmit, publish, broadcast, or otherwise disseminate or distribute the file (or any version modified for accessibility purposes) to anyone, including but not limited to other students with a disability at your or any other institution, others in the same company, school, college or other organization, whether or not for a charge or other consideration, including but not limited to use in connection with the sale, retransmission, distribution, publication, broadcasting, circulation or other dissemination, for any purpose, whether commercial or otherwise, without the express prior written permission of Pearson Education, Inc.

EXCHANGE OF THIS OR ANY OTHER FILE, IN A MODIFIED FORMAT OR COPY THEREOF, IS A VIOLATION OF THE U.S. COPYRIGHT ACT. SEPARATE AUTHORIZATION MUST BE OBTAINED FOR EVERY USER OF THIS FILE, ITS MODIFIED FORMAT OR COPY THEREOF, AND SEPARATE PROOF OF PURCHASE OF THE TEXT MUST BE PROVIDED.

WE RESERVE THE RIGHT TO REQUIRE WRITTEN DOCUMENTATION REGARDING ANY INFORMATION PROVIDED ON THIS FORM.

Please read the following statement.By checking the box, you have made the following agreement:

I verify that the above answers and verifications are complete, true and correct and that by submitting this request and receiving the requested electronic file, I am agreeing to abide by these terms.

Comments (Optional)

If you are a faculty member with a disability that prevents you from using the printed version of the Title, please fill out the form below.

All Fields are Mandatory.

PART 1. Our Product Information

Title

ISBN

Part 2: Instructor and School Information

Instructor's Full Name

Instructor's Phone

School issued E-mail address (where file will be sent)

Course Name

Course Start Date (mm/dd/yyyy)

Course End Date (mm/dd/yyyy)

Please select the purpose of this request

TeachingReview

School Name

School Address

City

State

Zip Code

Country

Part 3: Faculty Verification

I verify and agree that:

I have adopted the Title for a course I am teaching.
I have a disability that prevents me from using the printed version of the Title.
I will not use or further distribute or copy the electronic files for the Title for any other purpose.
In using the electronic files provided by the Publisher, I will abide by the Copyright Law of the United States of America, as amended (17 U.S.C. Sec 101 et seq.) and the applicable code of conduct and policy of the requester's school.
Pearson Education, Inc. owns all rights to the Title and the electronic files for the Title, including copyright. I have only the right to use the electronic files for the purposes set forth in this request.

This file is being provided for your use in teaching a course as a person with a disability. You agree not to otherwise reproduce, use, sell, transmit, publish, broadcast, or otherwise disseminate or distribute the file (or any version modified for accessibility purposes) to anyone, including but not limited to students or other faculty with a disability at your or any other institution, others in the same company, school, college or other organization, whether or not for a charge or other consideration, including but not limited to use in connection with the sale, retransmission, distribution, publication, broadcasting, circulation or other dissemination, for any purpose, whether commercial or otherwise, without the express prior written permission of Pearson Education, Inc.

EXCHANGE OF THIS OR ANY OTHER FILE, IN A MODIFIED FORMAT OR COPY THEREOF, IS A VIOLATION OF THE U.S. COPYRIGHT ACT. SEPARATE AUTHORIZATION MUST BE OBTAINED FOR EVERY USER OF THIS FILE, ITS MODIFIED FORMAT OR COPY THEREOF, AND SEPARATE PROOF OF PURCHASE OF THE TEXT MUST BE PROVIDED WE RESERVE THE RIGHT TO REQUIRE WRITTEN DOCUMENTATION REGARDING ANY INFORMATION PROVIDED ON THIS FORM

Please read the following statement. By checking the box, you have made the following agreement:

I verify that the above answers and verifications are complete, true and correct and that by submitting this request and receiving the requested electronic file, I am agreeing to abide by these terms.