Helpdesk Request
Please use this form for all requests to the Free Helpdesk for Maryland Blind/Low Vision Transition Students, Families, and Educators. You may complete as many request forms as you choose.

We will review, research, and respond to your inquiry quickly.

We look forward to serving you.
Sign in to Google to save your progress. Learn more
Email *
Name *
County (and state, if not Maryland) *
Phone number (optional, but will help us contact you more quickly)
Inquiry/request *
How do you identify yourself? *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Image MD. Report Abuse