Idaho-NDBEDP Application

Complete and submit an application, along with all required documentation, to the Idaho-NDBEDP office. All applications must meet federal qualification guidelines in order to qualify for assistance through this program. See the program Qualification Guidelines.

Your application and documents will be reviewed.

  • If your application qualifies, our office will contact you to gather additional information and move forward with the program.
  • If your application does not qualify, you will be contacted to explain why.

Please note - Program funds are limited. It may be necessary for consumers to be put on a waiting list until additional funds are made available.

Application

There are two ways to submit an application:

  1. Complete and submit an application online, then mail income and medical documentation to the address below.
  2. Print application, complete by hand, and mail application with income and medical documentation to the address below.

Online Applications*

*Download PDF to enable fillable features and turn off Table Properties in Word if using NVDA

Application: White Background with Black Text: WORD ApplicationWORD OR PDF ApplicationPDF

Application: Black Background with White Text: WORD ApplicationWORD OR PDF ApplicationPDF

Application: Spanish -- White Background with Black Text: WORD ApplicationWORD OR PDF ApplicationPDF

If you have any questions about the program or need additional assistance in completing the application, please contact us at 1-800-432-8324.

Please mail all applications/documentation to:

Idaho Assistive Technology Project (IATP)

1187 Alturas Drive

Moscow, ID 83843-8331

ATTN: Idaho-NDBEDP


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