Adaptive Technology subsidy form

This form is to apply for a subsidy to assist with the cost of purchase of equipment or aids made exclusively for people with low vision or for multi-use mobile smart devices that come standard with adaptions for the blind. This subsidy does not include laptops.
  • Please tick the boxes provided if you agree to the terms outlined below.
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  • Once you submit your form by using the button below you should be presented with a confirmation page. If you are not presented with a confirmation page, there is an error in your form. Errors will be highlighted.

  • For office use only

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