WATT Service Request Form

You may use this form to request an assistive technology (AT) consultation,
evaluation, or equipment from the WATT lending library. 

Contact the WATT Office at (734) 334-1701 for questions regarding this form.
Students must have an IEP to qualify for assistive technology.
Are you requesting an AT consultation or evaluation?  (required)
If you are requesting equipment, please list the equipment desired below.
Equipment #1
Equipment #2
Equipment #3
Equipment #4
Equipment #5