AAC iPad Loan Form

Loan form for iPad 9.7 inch to be used for Augmentative Communication Device (AAC)/Speech Generating Device (SGD) trial.

If mailing directly to school or district/union please add that name here.
Include City, State and Zip Code
Please include the area code in your phone number; Example: 802-123-4567

Contact Us

Phillip Seiler

NOB 1 North, 280 State Drive
Waterbury, VT 05671-1090
Toll Free in Vermont: 1-800-750-6355
Fax: (802) 241-0341
For Telecommunications Relay Service: Dial 711

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Limited English Proficiency (LEP)


This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services