Request to Verify Eligibility for Free Ebooks for the Print Disabled

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Do you have a disability that interferes with reading printed text? Please fill out this form to get qualified for our program for print-disabled users.

Note: This is NOT an audiobook program.

This program gives you access to our print-disabled collection and lets you skip waitlists for our ebook collections. All other features of our ebooks including downloading protected EPUBs and PDFs are available to all readers.

You MUST have an Internet Archive account to be eligible. They are free. You can get one at

https://archive.org/account/signup

Your Name *

Email address of your Archive.org account *

You must have an Internet Archive account to be eligible for this program. Please make sure this is your Archive.org email address.

Type of print disability *

Blind

Visual disability

Dyslexia or other documented learning disability

Eligible for academic reading accommodations

Physical Disability (if selected, you must use the next section to give us more information)

Other:

Information about your qualifying print disability or additional information you would like us to know?

Confirmation *

I have an Archive.org account (If not, please create one and return to this form.)

Required

Privacy notice:

The information on this form will be available on Internet Archive (https://archive.org/about/terms.php) and the Vermont Mutual Aid Society (http://VTMAS.org). Other qualifying authorities may be given access to this information in order to help with certifications. If you submit information from a doctor, a qualifying authority may contact them to confirm the eligibility.

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