Thank you for submitting your request to Assisitve Technology of Ohio's (ATOhio) short-term device trial program. Please allow 1-3 business days for your request to be reviewed by an ATOhio staff member. Should the equipment you requested not be available for trial, you will be added to the wait list to receive the equipment.
PLEASE NOTE: A SIGNATURE IS REQUIRED FOR DELIVERY. To avoid delays in delivery, make sure someone is available at the shipping address who can sign for delivery of your requested device.
Questions? Contact Assistive Technology of Ohio at 800-784-3425 or email@example.com.
You will receive a copy of your request if you request it at the bottom of this document.
I understand and agree that I am responsible for proper handling and use of each borrowed device.
I am responsible for returning all components to Assistive Technology of Ohio’s Assistive Technology Lending Library in a timely manner and in accordance with shipping instructions. If I find that any components listed on the inventory sheet are missing when I open the shipping case, I must call the Assistive Technology Lending Library at 800-784-3425 or 614-292-2390 immediately so I will not be held financially liable for the missing components.
In the case of loss of a device or components, I may be held financially liable. In the event of loss, I will contact Assistive Technology of Ohio at 800-784-3425 or 614-292-2390 immediately.
In the case of theft, I will not be held responsible, as long as I immediately report the incident to the police and provide a copy of the police report to Assistive Technology of Ohio.
If an equipment breakage or malfunction occurs, I must immediately notify the Assistive Technology Lending Library Manager at Assistive Technology of Ohio (800-784-3425 or 614-292-2390). I will not be held responsible for equipment breakage or malfunction that occurs during normal use as long as I report it promptly.
I understand it is illegal to copy or distribute any software loaned through Assistive Technology of Ohio’s Assistive Technology Lending Library. Upon completion of the loan period, if I have loaded borrowed software on my computer, I will remove it.
Failure to comply with these responsibilities will result in loss of future access to Assistive Technology of Ohio’s Assistive Technology Device Library, in addition to applicable financial and/or legal liability.