AF/CF Upload - Massachusetts Accessible Instructional Materials Library

af-cf-upload

ACCESS
SUBMISSIONS
CONFIRMATION

*All Fields are Required.

TVI's First Name

TVI's Last Name

TVI's Email

Student's First Name

Student's Last Name

Student SASID

School Year Code

Enter the School Year Code provided by AIM Library.

*Required

Complete Assurance Form Below

Fast, Simple, & Submitted Digitally

Today's Date

Current School Year

TVI Name

Student's Name

TVI's Phone Number

TVI Email

Student SASID

Student's Date of Birth

Primary Reading Media

Grade Placement

Secondary Reading Media

School District Name

School Type

Town of Student's Residence

Orientation & Mobility Specialist

Is the Student Legally Blind

Date of Medical Record on File

Orientation & Mobility Specialist

Student's Visual Criteria (Check One)

Indicate Written Education Plan on File

Learning Media Assessment (LMA)

Functional Vision Assessment (FVA)

Low Vision Evaluation (LVE)

Assistive Technology Assessment (ATA)

Transition Plan & Independent Living (TILSA)

Orientation & Mobility Assessment (OMA)

1. Assistive Technology Devices to Access Curriculum

2. Assistive Technology Devices to Access Curriculum

3. Assistive Technology Devices to Access Curriculum

4. Assistive Technology Devices to Access Curriculum

5. Assistive Technology Devices to Access Curriculum

6. Assistive Technology Devices to Access Curriculum

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Submission Note

Special Education Director Signature

Sign Here

Using your mouse, sign in the above field.

Special Ed Director Print Name

Date

Acknowledgement of FAPE (MGL, Chapter 71B)

Please Check to Acknowledge

I understand that the school district is responsible for providing any and all specialized instructional materials that are identified in the students’ IEP. I also understand that AIM Library is an optional resource for school districts, it is not equipped to respond to all material requests, and the LEA cannot rely upon the AIM Library to meet their obligations to provide FAPE.

Please retain a copy at the LEA and MAIL ‘wet signature’ signed original form to:
Massachusetts Accessible Instructional Materials Library, 3 Randolph Street, Canton MA 02021

, you selected ‘Upload AF PDF’. If you wanted to submit digitally click to the previous step.

Alternate AF Legacy Option

Drag and drop or browse to upload AF PDF file below.

Legacy Submission

Upload AF PDF

Acceptable File Type: PDF

MassachusettsAccessible Instructional Materials Library

Submit Assurance and/or Consent Form

Consent Form PDF Upload

To Upload: Drag and drop or browse to upload CF PDF file below.

Assurance Form

Submission Method

Complete Assurance Form Below

Fast, Simple, & Submitted Digitally

Alternate AF Legacy Option

Upload Received

Your Submission: