Get Southern Utah Division Of Services To The Deaf And Hard Of Hearing - Deafservices Utah

Filling out the Southern Utah Division Of Services To The Deaf And Hard Of Hearing form online is a straightforward process. This guide will walk you through each section of the Intake Form for Assistive Technology Services, ensuring that you provide all necessary information accurately.

Follow the steps to complete your form online.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Enter today’s date in the designated field.
3. Provide your basic information. Fill in your last name and first name, followed by your email address.
4. Indicate your age range by selecting the appropriate option.
5. Select your gender from the available choices.
6. Fill in your street address, city, state, and zip code.
7. Provide your phone number. Specify whether the number is for TTY, VP, voice, text, or other communications.
8. Indicate the best time to call you, selecting a preference from the available morning or afternoon options.
9. Select who you are requesting assistance for: yourself, spouse, children, non-family member, co-worker, or other.
10. In the services needed section, outline what technology you need help with.
11. If requesting installation, provide the device brand name and specify how many devices you need assistance with.
12. For repair work, enter the device brand name, number of devices, and a thorough description of the problem.
13. Indicate which days of the week you are available by selecting from the options provided.
14. Choose your availability by indicating whether you are available in the mornings or afternoons.
15. Finally, sign the form in the designated area to validate your request.
16. Review all entered information for accuracy before saving your changes. You can then download, print, or share the form as needed.

Complete your form online today for efficient assistive technology services.