Obtaining a General Petition

General Petitions Form 

General Petition forms are available for download and may be emailed directly to your College Dean's Office for review. 

General Petition Submission Form

College Dean's Office

The A Center, Bartlett Academic Success Center (BASC) 4th floor stts-admin-center-a@email.arizona.edu
Agriculture, Life & Environmental Sciences, Forbes Building, Room 306 nancyr@arizona.edu
Applied Science & Technology, University Services Building, Room 114 rachelyoung@arizona.edu
Architecture, Architecture Building 104 s1wilson@arizona.edu
Education, Education Building 247 COE-edadvise@arizona.edu
Eller College of Management, McClelland 204 rnh@arizona.edu
Engineering, Engineering Building 200  petition@engr.arizona.edu
Fine Arts, Music Building 111  ymakino@arizona.edu 
Humanities, Modern Languages Building 345  dgonzales@arizona.edu
College of Information Science, Harvill Building, 4th Floor didaly@arizona.edu
College of Medicine – Undergraduate Programs tparikh@arizona.edu
Nursing, Nursing Building 112  CON-OSAA@arizona.edu
Pharmacy, 1295 N. Martin, B107 

rmitch@arizona.edu
Public Health, 1295 N Martin Ave andreaw@arizona.edu
Science, Bartlett Academic Success Center (BASC) 4th floor rrarick@arizona.edu
Social and Behavioral Sciences, Douglass Building 200W  arewing@arizona.edu

Office of Registration, Residency & Transcripts

Administration Building, second floor, Room 210 
reghelp@arizona.edu 

Arizona Online and Distance (Near You Network) Campus Students

General Petition for Extenuating Circumstances – Medical 

Students should follow the steps below to complete a retroactive withdrawal request for medical reasons.

  • Complete the Medical Provider form: 
    • Download the Medical Provider form.
    • Fill in their student information at the top of the form.
    • Provide the form to their healthcare provider.
    • Their healthcare provider completes their portion of the form and returns it to the student. 
  • Submit a medical withdrawal request on UAccess Student Center: 
    • Use the "Academic Record" drop-down menu and choose Academic Summary. 
    • Select "Retroactive Medical Withdrawal" to begin the process which will require uploading the completed Medical Provider form and personal statement.  

Note: The Medical Provider form is the only accepted medical documentation for medical withdrawals.
 

General Petition for Extenuating Circumstances - Sexual Harassment or Discrimination (Title IX)

Students can submit the Petition for Retroactive Academic Withdrawal form for sex-based harassment or discrimination by emailing a completed form to equity@arizona.edu. Students can contact the Office of Institutional Equity (OIE) at 520-621-9449.