AT Finance Program Loan Application

Please download, complete the application, and return it by fax or mail to the Idaho Assistive Technology Project for processing.

Print Form: Use this version for printing a blank form to be filled out by hand.
Print Assistive Technology (AT) Finance Program Loan ApplicationPDF

Computer Fillable Form: Complete by typing on your computer and then print.
Note:
This form will calculate the budget totals for you.
Fillable Assistive Technology (AT) Finance Program Loan ApplicationFillable PDF


IATP Contact

For questions or assistance contact:

Krista Kramer - kkramer@uidaho.edu / 208-885-6097 / 1-800-432-8324
Idaho Assistive Technology Finance Program
Attention: Krista Kramer
1187 Alturas Drive
Moscow, ID 83843
Toll Free: 1-800-432-8324
FAX: 208-885-6102