THIS FORM IS CURRENTLY UNDER DEVELOPMENT. PLEASE SEND AN EMAIL TO DB@INDSTATE.EDU IF YOU REQUIRE TECHNICAL ASSISTANCE. WE APOLOGIZE FOR ANY INCONVENIENCE.
If you would like technical assistance services for your Indiana
child/student who is deafblind (has both a vision and hearing loss),
please complete and return the request form to the Indiana Deafblind
Services Project. Once this information is received, you will be
contacted by Project Staff to follow-up on your request.
Please provide the following contact information: