Assistive Technology Inventory Checklist

Complete the inventory with all assistive technology equipment to determine current and future needs. Use the buttons above to skip to a specific section or work through each page by using the next button.

When done, click the 'Submit' button to download PDF of your completed inventory.

Access Devices

List all access method device, current availability, operational status, and projected needs.

Switches

Rows	Switches	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Switch Interfaces

Rows	Interface	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Alternative Keyboards

Rows	Keyboard	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Alternative Mice (e.g., trackball, joystick, head mouse)

Rows	Mouse	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Access Devices

Rows	Other	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Communication Devices

List all communication devices, current availability, operational status, and projected needs.

Single Message Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Multi-Message Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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AAC Apps & Dedicated AAC Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Aids for Daily Living Devices (ADLs)

List all ADLs, current availability, operational status, and projected needs.

ADLs

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Electronic Aids for Daily Living (EADL)

List all EADLs, current availability, operational status, and projected needs.

EADLs

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Hearing Devices

List all hearing devices, current availability, operational status, and projected needs.

Alerting Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Assistive Listening Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Note-taking and Text Systems

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Hearing Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Learning/Cognitive Devices

List all learning and cognitive devices, current availability, operational status, and projected needs.

Reading Devices or Software (e.g., text-to-speech, audiobooks, etc)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Writing Devices or Software (e.g., templates, voice typing, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Memory Aids (e.g., calendars, reminder apps, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Organization Aids (e.g., mind mapping, colored folders, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Time Management Aids (e.g., timers, apps, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Devices or Software

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Seating & Positioning Devices

List all seating and positioning devices, current availability, operational status, and projected needs.

Mobility Devices (e.g., walkers, scooters, wheelchairs, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Postural Support Devices (e.g., cushions, wedges, splints, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Seating Devices (e.g., adjustable chairs, tables, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Seating and Positioning Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Vision Devices

List all vision devices, current availability, operational status, and projected needs.

Braille Devices (e.g., note-takers, refreshable displays, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Magnification Devices (e.g., handheld, tabletop, software, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Navigation Devices (e.g., white canes, GPS, etc.)

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Other Devices

List all other devices, current availability, operational status, and projected needs.

Other Devices

Rows	Device	Current Quantity	Condition	Needed Quantity	Notes (e.g., location, color, repair information)
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Inventory Notes
Add any other notes about your assistive technology inventory.
Should be Empty:

Access Devices

Communication Devices

Aids for Daily Living Devices (ADLs)

Electronic Aids for Daily Living (EADL)

Hearing Devices

Learning/Cognitive Devices

Seating & Positioning Devices

Vision Devices

Other Devices

Inventory Notes