Student Access Code Claim Form
Submit your information to request a student access code for your course or digital resource.
Student Full Name
*
First Name
Last Name
Student Email Address
*
example@example.com
Student Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student ID Number
*
Institution / School Name
*
Course or Program Name
*
Level of Study
*
Please Select
Undergraduate
Graduate
Doctoral
Certificate Program
Other
Type of Access Code Requested
*
Please Select
e-Textbook Access
Online Platform Access
Software License
Lab Resource Access
Other
Reason for Access Code Request
*
Upload Supporting Document (e.g., proof of enrollment, payment receipt, or other relevant documents)
Upload a File
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