Get the free an Assistive Technology Request form

Assistive Technology Request Student Name: Contact Teacher: Email:For BCI Use Case Number: Date OLD Request Received Date AT Request Received District/Building: Phone No:WHICH FORM OF ASSISTIVE TECHNOLOGY

How to fill out an assistive technology request

How to fill out an assistive technology request

1. Step 1: Start by gathering all the necessary information such as the specific assistive technology device or service required, the individual's name, contact details, and any supporting documentation.
2. Step 2: Next, determine the purpose of the request. Is it for education, employment, or any other specific reason? Make sure to include this information in the request form.
3. Step 3: Fill out the assistive technology request form provided by the relevant organization or institution. Provide accurate and detailed information about the individual's needs, preferences, and any existing accommodations or barriers.
4. Step 4: Attach any supporting documentation that may be required, such as medical reports, assessments, or recommendations from healthcare professionals or specialists.
5. Step 5: Review the completed request form and supporting documents to ensure all necessary information is included and accurate.
6. Step 6: Submit the assistive technology request form and supporting documents to the appropriate contact person or department as specified by the organization or institution.
7. Step 7: Follow up on the request by contacting the relevant party to confirm receipt and inquire about the status of the request. Be prepared to provide any additional information or clarification if needed.
8. Step 8: Once the assistive technology request is approved, work with the organization or institution to arrange for the provision of the requested device or service. This may involve coordination with vendors, training sessions, or customized adaptations.
9. Step 9: Periodically evaluate and reassess the individual's assistive technology needs to ensure they are still being met effectively. This may involve requesting updates or modifications to the assistive technology device or service.
10. Step 10: Keep copies of all communication, documentation, and records related to the assistive technology request for future reference.

Who needs an assistive technology request?

1. Anyone who has a disability or impairment that affects their ability to perform daily tasks, engage in education or employment, or fully participate in social activities may need to submit an assistive technology request.
2. Common examples of individuals who may benefit from assistive technology include people with physical disabilities, visual or hearing impairments, learning disabilities, cognitive or developmental challenges, and chronic health conditions.
3. Assistive technology can help individuals overcome barriers and enhance their independence, productivity, communication, mobility, and overall quality of life.
4. The need for an assistive technology request may vary depending on the specific circumstances and requirements of each individual.

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What is an assistive technology request?

An assistive technology request is a formal petition for the provision of technology tools and devices to assist individuals with disabilities in performing tasks.

Who is required to file an assistive technology request?

Individuals with disabilities or their legal guardians are required to file an assistive technology request.

How to fill out an assistive technology request?

An assistive technology request can be filled out by providing details about the individual's disability, specific technology needs, and how the requested technology will help in performing tasks.

What is the purpose of an assistive technology request?

The purpose of an assistive technology request is to ensure that individuals with disabilities have access to the tools and devices they need to perform tasks and improve their quality of life.

What information must be reported on an assistive technology request?

An assistive technology request must include details about the individual's disability, specific technology needs, and how the requested technology will help in performing tasks.