Assistive Technology forms
The Ministry of Education provides assistive technology services that support and guide staff and specialists working directly with students.
The following forms can be downloaded from the Related Downloads section at the end of this page.
Referral Form
This form is used by a school that requires additional support to undertake an Assistive Technology assessment for a student once the options available within the student's class and school are exhausted.
Assistive Technology Application Form 2009
This single form replaces the Assessment Form and the Application Form published prior to 2009. The new application format streamlines the application process and is used for any new request for Assistive Technology funding. A help document is also available if you need any support or further information to complete your application.
Loan Form
This form is used to record responsibilities for loan technology that is used as part of an Assistive Technology trial.
Transfer Form
This form is used to document the transfer of technology and of school responsibilities when a student moves from one school to another.
Variation Form
This form is used when there is a change of pricing after original quote or technology is no longer available or a change of circumstances requires minor change within three months of the original Assistive Technology allocation.
Replacement or Repair Form
This form is used when technology that has been allocated within the last two years needs to be replaced or repaired. If there is a change in student circumstances and an upgrade or change to technology is necessary, then a full application needs to be completed using the Application Form 2 and the Assistive Technology Assessment report.
Training Plan Form
This form is used to document a training plan for either technology being currently applied for or when there is a change in the student's circumstances and training is required for new staff.
Assistive Technology Management Plan Template
This template is used by the school based team to outline how the technology will be cared for at school and during transitions. It is common in cases where there are risks that the equipment may be damaged, stolen or lost.