Directions: Ask the Assistive Technology Lending Library local branch or the Assistive Technology Resource Center to check the most updated inventory list to verify that the item is not already in the inventory. Complete this form, providing as much information about the requested product as possible. This information, together with data on frequently requested items, helps us maintain an inventory that responds to the needs of Pennsylvanians with disabilities and older Pennsylvanians
If you wish to print and mail this form, return it to:
Zona Jackson
Institute on Disabilities
1601 N. Broad Street, University Services Bldg. Ste. 610
Philadelphia, PA 19122
« Back to the list of Assistive Technology Programs