You need to fill out this form if your child has already acquired a device under the Allowance for Special Needs Program and that device now needs to be repaired or replaced.
This form is only intended for students attending a private educational institution that is not accredited for preschool, elementary or secondary education subsidies.
The cost of repair or replacement is reimbursed only once in a lifetime.
- Section 2 must be filled out by person at your child’s educational institution who is so authorized by the school administration.
- The form must be accompanied by a quote or be signed by the merchant or authorized person from the technical assistance service.
Ways to submit your documents
Once the form has been filled out and printed, you must sign it and mail it to the address indicated on the document.
Once the form has been filled out and printed, you must sign it and fax it to the number indicated on the document.