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Equipment Loan Request Form

Equipment Loan Request Form

  • Name * Required
  • What technology will you need to remove your barrier? * Required
    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.