Pennsylvania's Assistive Technology Lending Library

Device Loan Request Forms

Please choose and download a request form from the list below:

Online "Loan Cart"—You now have the choice to use an online "loan cart" (available while browsing the library inventory) and online form to complete the request items before printing, signing, and submitting to your ATRC or printing the English, Spanish, and large print versions below before completing the form.

NEW: The Jean Griswold Assistive Technology Service Fund
Griswold Fund information and application

Institute on Disabilities at Temple University
University Center for Excellence in Developmental Disabilities Education, Research and Service