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Alternative Text Request Form Section 1: Students Information Students Name: 855#: Students Email: Students Cell Phone: Semester (i.e., Fall 2017): Is this your first time requesting an alternative
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How to fill out request services formassistive technology

01
Start by downloading the request services form for assistive technology from the official website.
02
Read the instructions carefully to understand the information required in the form.
03
Fill in your personal details starting with your full name, address, and contact information.
04
Provide information on the type of assistive technology you require, such as visual aids, hearing devices, or mobility assistance equipment.
05
Indicate the specific features or requirements that are important to you in the assistive technology.
06
If you have any preferences or specific models in mind, mention them in the appropriate section of the form.
07
If you have any supporting documents or medical reports that can validate your need for assistive technology, attach them to the form.
08
Double-check all the information you have provided to ensure accuracy and completeness.
09
Submit the filled-out request services form along with any required documents through the designated submission method.
10
Keep a copy of the completed form and documentation for your records.

Who needs request services formassistive technology?

01
Individuals who have disabilities or impairments that require assistive technology to enhance their daily living, communication, mobility, or accessibility.
02
Organizations or institutions that provide support services to individuals with disabilities and require assistive technology for their programs or facilities.
03
Caregivers or guardians who are filling out the form on behalf of someone with a disability or impairment.
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The request services form for assistive technology is a document used to request specific assistive technology services or devices for individuals who have disabilities.
Individuals with disabilities, their guardians, or authorized representatives are typically required to file the request services form for assistive technology.
To fill out the request services form for assistive technology, you need to provide personal information, details about the specific assistive technologies needed, and any relevant medical or assessment information.
The purpose of the request services form for assistive technology is to formally seek approval and funding for assistive devices or services that can help individuals with disabilities improve their quality of life.
The information that must be reported includes the individual's personal details, the type of assistive technology requested, justification for the request, and supporting documentation such as assessments or recommendations from professionals.
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