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Working from Home

Who is eligible?

Indiana Residents

Deaf, Hard-of-Hearing, or Speech Disabled

Income $105K or less per year 

 Device per individual every 3 years

(with good standing)​​

Checklist

Proof of Eligibility

Provide proof of income

(tax return, Social Security letter, or paycheck stub)
Proof of Indiana residency
We’ll contact you before approval

APPLY TODAY

EQUIPMENT DISTRIBUTION PROGRAM

Provides loaned devices to Indiana residents with phone service who are deaf, hard-of-hearing, or speech disabled.

* Please choose one of the following
I'm filling this form out for myself
I'm filling this form out for someone else
Are you a resident of the state of Indiana?
Yes
No

If No, please visit www.tedpa.com to find your state’s program.

Is your annual income below $105,000?
Yes
No
Check which disability group(s) best defines applicant's disability
Date of Birth
Month
Day
Year

Please Note:

You will be contacted before your application can be approved



Choose ONLY ONE device

(Example: If you choose iPhone, don't also pick iPad or CapTel)


Mobile Phone

Products

Want more info about each phone? (Click here)



Tablet for Deaf and Hard of Hearing

Products

Want more info about each tablet? (Click Here)


Tablet for Speech Disabled

Products

Want more info about each tablet? (Click Here)


Captioned Telephone

Products

Want more info about each tablet? (Click Here)


How did you hear about us?

IMPORTANT - READ BEFORE SIGNING

I certify under penalty of perjury that I meet the eligibility requirements, including having a disability and being a current resident of the State of Indiana.

Privacy Policy and Limited Liability Agreement

(Please Read Before You Agree)

Single choice
Yes, I have read and fully understand this Privacy Policy and limited liability agreement.
Yes, I understand and agree to my responsibilities when receiving equipment from InTRAC.

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