General Petition Form
The General Petition form for non-medical petitions is available for download below. Once complete, it may be emailed directly to your College or Academic Unit for review. Non-degree seeking students with no academic college affiliation may email their completed petition form directly to petition@arizona.edu.
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 |
| Non-Degree seeking | petition@arizona.edu |
Arizona Online and Distance (Near You Network) Campus Students
Students affiliated with Arizona Online who need additional support with their petition may utilize the contact information below.
- 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.