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SECTION 1 Carbon Leigh Intermediate Unit #21 Assistive Technology Request for Support Please fill out completely Today's date Student Name: Sex: M / F D.O.B: District of residence: School: Disability:
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How to fill out request for assistive technology

How to fill out a request for assistive technology:
01
Start by accessing the official request form for assistive technology. This form can usually be found on the organization or institution's website or obtained from their disability services office.
02
Provide your personal information, such as your name, contact details, and identification number if applicable. This will help ensure that your request is properly processed and assigned to you.
03
Clearly state the specific assistive technology device or service you are requesting. Be as specific as possible to avoid any confusion or delays in the evaluation process.
04
Describe your disability or condition that necessitates the use of assistive technology. Provide relevant medical documentation or assessments to support your request, if available.
05
Explain how assistive technology can benefit you in your daily activities or academic/professional pursuits. Emphasize the potential impact it can have on improving your independence, productivity, or overall quality of life.
06
If necessary, include any additional supporting documents, such as letters of recommendation from healthcare professionals, educators, or employers. These can attest to the need for assistive technology in your specific case.
07
Review the completed request form for accuracy and completeness before submitting it. Ensure that all required sections have been properly filled out and any supporting documents are attached.
08
Submit the request form according to the instructions provided. This may involve mailing it to a specific address, submitting it online, or delivering it in person to the designated office.
09
Keep a copy of the submitted request form and any supporting documents for your records. This will serve as a reference in case there are any follow-up inquiries or updates needed regarding your request.
Who needs a request for assistive technology:
01
Individuals with disabilities or impairments that affect their ability to perform certain tasks or activities.
02
Students in educational institutions who require assistive technology to facilitate equal access to educational resources and opportunities.
03
Employees in the workplace who need assistive technology to perform their job duties effectively and on an equal basis with their colleagues.
04
Individuals living with disabilities who require assistive technology to enhance their independence, mobility, communication, or overall well-being.
05
Individuals recovering from injuries or illnesses who temporarily require assistive technology to aid in their rehabilitation process.
06
Veterans or military personnel who may need assistive technology as part of their reintegration into civilian life or to support any disabilities sustained during their service.
It is important to note that eligibility criteria and specific requirements for requesting assistive technology may vary depending on the organization, institution, or jurisdiction.
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What is request for assistive technology?
A request for assistive technology is a formal application or petition made to obtain technological tools or devices that assist individuals with disabilities in performing tasks or activities.
Who is required to file request for assistive technology?
Individuals with disabilities or their legal guardians are required to file a request for assistive technology.
How to fill out request for assistive technology?
To fill out a request for assistive technology, individuals must provide personal information, details about their disability, specific technological needs, and any relevant medical documentation.
What is the purpose of request for assistive technology?
The purpose of a request for assistive technology is to provide individuals with disabilities the necessary tools or devices to overcome barriers and improve their quality of life.
What information must be reported on request for assistive technology?
Information such as personal details, disability description, technological needs, and medical documentation must be reported on a request for assistive technology.
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