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. Use Firefox or Chrome browser to complete the form.
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 - / 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