General Petitions Form
The General Petition form is available for download below. Once complete, it may be emailed directly to your College or Academic Unit for review.
College and Academic Unit Contacts
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 |
Architecture, Architecture Building 104 | laurah@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 | mckisson@arizona.edu |
College of Medicine – Undergraduate Programs | tparikh@arizona.edu |
Nursing, Nursing Building 112 | CON-OSAA@arizona.edu |
Pharmacy, 1295 N. Martin, B107 | |
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
- Arizona Online Director: AZOnlineStudent@arizona.edu
- Arizona Online: 520-621-5320
- Distance (Near You Network): 520-626-1702
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.