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Pre-DSA needs assessment form

To confirm a DSA needs assessment interview appointment we require:

  • a copy of the letter confirming DSA eligibility. This letter will have come from Student Finance England or Wales, NHS Bursaries, Student Awards Agency Scotland, or a postgraduate research council.
  • a copy of the evidence of disability used to apply for DSA.

If you have not already sent us these two pieces of information please email them to or post a copy to SASS Ltd, Unity 12, 9-19 Rose Road, Southampton SO14 6TE.

More information on what you need to do before booking a DSA assessment.

We require some details for our records.

Our privacy policy explains why we collect this information.

Please complete the form below, or download the form in Word 2010, Word 1997-2003, or Acrobat pdf format and return to us by email or post.

Contact details


Home address

Student / alternative address


If you do not have a confirmed place please indicate first choice or most likely.


Additional information

The following information would help us to prepare for your needs assessment interview.

For example: side effects of medication, fluctuation in symptoms, more apparent under certain circumstances such as if required to walk long distances.