Equipment Loan Request Form Equipment Loan Request Form Name * Required First Last UFID * RequiredGatorLink Email * Required Semester * RequiredFallSpringSummerYear * RequiredWhat technology will you need to remove your barrier? * Required Livescribe Echo 2.0 Kurzweil Otter Ai Dragon Speech Recognition Revolab xTag Single Willam Sound Motiva Personal FM 360 System with and without neck loop AbiSee Zoom-Ex Shoulder Strap Support Rig Please complete the following form to request a piece of equipment through the DRC’s Equipment Loan program. Submitting this form does not guarantee that you will be loaned the equipment. A Learning Specialist will contact you shortly. If approved, you will need to complete the Equipment Loan Agreement form via DocuSign prior to being loaned the equipment. What barrier does your requested equipment address?