AAW Equipment Reservation Form - Individuals and Organizations
Please review all the required forms listed under the "Requirements" tab and discussed on the Reservation page:
The OWC weighs 350 lbs. and is loaded on a trailer weighing approximately 800 lbs. that uses a 2” ball. Please make sure you will have access to a vehicle with the capacity to tow equipment over 1150 lbs. when you make the reservation. For safety reasons we require at least an 8" clearance from the ground to the hitch once the trailer is attached. As such we suggest you use a midsize SUV, a van, or a truck to ensure the appropriate clearance and safety. We have a right to refuse check out for any safety reason.
***We have a right to refuse check out for any safety reason.***
Phone: 608-886-9388 -
- Email: AAW@AccessAbilityWI.org
Full Legal Name of person checking out AAW's outdoor wheelchair(s)
Please provide WI DNR Customer #: of person checking out the outdoor wheelchair(s)
We require this due to DNR grant reporting. If you have questions about the WI DNR Customer #, please refer DNR- http://dnr.wi.gov/education/outdoorskills/idcheck.html
There is no fee to acquire a DNR Customer #.
City, State, & Zip
Kind of phone
Is the person using the chair a minor:
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