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United States Department of Agriculture

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USDA/CAP Partnership AT and Training Request Form

 

If you are unsure of your technology and training needs, please Start Your TARGET Experience to request an AT Needs Assessment.

Contact Information

 

AT Request Information


Give us a description of his/her specific impairment(s) or functional limitations. Is there a medical diagnosis from a doctor? Is this a new condition or something that he/she been dealing with long-term?



Has he/she used assistive technology before? If so, what?


Provide a description of normal tasks that the Employee needs to perform and complete at work that are hindered by his/her limitations. You may want to describe the current work environment, interactions with co-workers and/or supervisors or any other details that you feel could be helpful.