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Please note form submissions are reviewed at the beginning of each month

*Important Reminders*

The most recent version of any form will always be the one on our website. Please check back to ensure you are always using the correct version.

Please ensure that all signature lines have been completed on your form(s).  

A letter of support must accompany an Application for A Communication iDevice or Application for Eye Gaze Communication System.  One letter must be from the child’s prescribing Speech-Language Pathologist with additional letters from family and clinical staff encouraged.  

Please ensure that you include the contact information and signatures from the current Speech-Language Pathologist. This is especially important if you are submitting at the end of a school year. When we submit the application for funding, our funding sources require the contact information for the current clinicians working with the child. If you are about to go on a leave or if there will be a new clinician for the upcoming school year, please include that information.

Form Name 1

Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Max file size 10MB.
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Form Name 2

Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
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Form Name 4

Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Max file size 10MB.
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fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!
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Form Name 4

Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Form Name 5

Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Please note: Applications are reviewed at the beginning of each month. Once it has been reviewed, OARC will be in contact with the applicant.

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