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SECTION 1Carbon Leigh Intermediate Unit #21 Early Intervention Assistive Technology Request for Support (Please fill out completely)Today's date Child Name: Sex: M / FD. O. B: District of residence:
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How to fill out request for assistive technology

How to fill out request for assistive technology
01
To fill out a request for assistive technology, follow these steps:
02
Identify the specific assistive technology device or service that you need.
03
Gather any necessary documentation or medical records that prove the need for the assistive technology.
04
Contact your local assistive technology program or organization to obtain the request form.
05
Fill out the request form completely and accurately.
06
Attach any supporting documentation or medical records to the request form.
07
Submit the request form and supporting documents to the designated contact person or office.
08
Follow up with the organization or program to ensure that your request is being processed.
09
Keep copies of all submitted documents for your records.
10
If your request is approved, work with the organization or program to obtain the assistive technology device or service.
11
If your request is denied, consider appealing the decision or seeking alternative options.
Who needs request for assistive technology?
01
Anyone who has a disability or impairment that affects their ability to perform daily tasks can benefit from requesting assistive technology.
02
This can include individuals with physical disabilities, visual or hearing impairments, cognitive or developmental disabilities, and other conditions that impact functioning.
03
Assistive technology can help these individuals to communicate, navigate their environment, participate in education or employment, and enhance their overall independence and quality of life.
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What is request for assistive technology?
Request for assistive technology is a formal application made by individuals with disabilities to access specialized tools and resources that can help them perform tasks more easily.
Who is required to file request for assistive technology?
Individuals with disabilities who require assistive technology in order to perform tasks 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 can contact their employer or educational institution's disability services office for assistance in completing the necessary forms.
What is the purpose of request for assistive technology?
The purpose of a request for assistive technology is to ensure that individuals with disabilities have access to the tools and resources they need to perform tasks and participate fully in daily activities.
What information must be reported on request for assistive technology?
The request for assistive technology typically includes information such as the individual's name, contact information, description of disability, specific accommodations needed, and any supporting documentation.
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