Forms for assistive technology
The following forms and information sheets can help when considering applying for, or supporting assistive technology use in your school.
| Level of compliance | Main audience | Other |
|---|---|---|
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Inform
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Many of the forms on this index page must be completed and submitted in order for a school to receive and appropriately manage assistive technology for their students.
| Form | Used | Further information |
| Assistive technology form - Assessment and application(external link) [DOCX, 113 KB] | By schools to apply for assistive technology | |
| Assistive technology form – Transfer [DOCX, 77 KB] | By schools, if the student changes schools or the student leaves school. Also when equipment is no longer required | When a student transfers or leaves school |
| Assistive technology form – Repair or replacement [DOCX, 88 KB] | By school when the Ministry funded assistive technology requires repairs or replacement | Loss, repairs and maintenance of equipment |
| Assistive technology template – Management plan [DOCX, 73 KB] | By schools to plan for the safety, care and management of the allocated assistive technology | Setting up and managing the assistive technology |
| Assistive technology form – Variation [DOCX, 52 KB] | If there's a change in cost from a school's original application | Applying for assistive technology |
| Assistive technology form – Training plan [DOCX, 74 KB] | When very specialised Ministry funded assistive technology is requiring additional specialised training for use in the school | Setting up and managing the assistive technology |
| Assistive technology form – Review [DOCX, 72 KB] | By a school when the allocated assistive technology has been used by the student for 6 months or more | |
| Assistive technology form – Loan [DOCX, 72 KB] | When our assistive technology is on loan to your school, for trial, as part of the assistive technology assessment/application process for a particular student |
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| Assistive technology – Auditory Processing Disorder application form [DOCX, 106 KB] | By school when their student has an audiologists diagnosis of APD and requires assistive technology to support learning in school | Auditory Processing Disorder (APD) |
| Assistive technology application form – Joint funding [DOCX, 103 KB] | To apply for joint funding (between the Ministry of Education and Ministry of Health) |
Applying for assistive technology |
Application forms for specialist use only
Assistive technology – Furniture application form (Occupational Therapy and Physiotherapy use only) [DOCX, 107 KB] [DOCX, 171 KB]
Assistive technology – Vision application form (for Resource Teacher Vision use only) [DOCX, 128 KB]
Assistive technology – Vision application form (for Resource Teacher Vision use only(external link) [DOCX, 128 KB]
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