Accessible Instructional Materials Library Forms

It is suggested that all forms be copied for your files prior to submitting them to the AIM Library for your records in case of later verification.

Assurance Form

AIM Library student registration requires the assurance that appropriate assessments, when applicable, current medical records, and a written education plan are on file where the student attends school. The actual assessments, reports, and plans are not to be submitted to the Accessible Instructional Materials Library but need to be on file at the school district. Original, wet signature Assurances Forms by LEA’s Special Education Director are required every school year for every BVI student. Assurance Forms are to be submitted during the school year they are covering. June and July submitted AF’s will cover the end of the school year, summer programs, ESY, and camp materials support. The window to submit AF’s for the school year opens on August 1st each year. Please do not email AF’s as it does not help expedite the process.

Please snail mail AF’s to:

Massachusetts Accessible Instructional Materials Library
3 Randolph Street Canton, MA 02021

Download Assurances Form

Download Assurances Form
Download Assurances Definitions
Download Reporting Codes

Consent Form

Consent to Release Information Form is to be signed by parent, guardian, or student over 18 managing their educational rights, to allow the AIM Library to exchange pertinent information with the Massachusetts Commission for the Blind, American Printing House for the Blind, and the Massachusetts Department of Elementary and Secondary Education.

Download Consent Form

Material Request Form

To be completed by the TVI to ensure that the proper items are being provided for the student’s needs. The TVI is responsible for the proper care & return of these materials.

Please save all AT boxes in case there is a repair needed.
Download Material Request Form

Teacher Registration Form

To be submitted by TVI each year along with their Student Census so the AIM Library is sure to have your current contact information.
Download Teacher Registration Form

Print Copy Identification Form

Please fill out and place inside each original print copy textbook submitted for production to the AIM Library to ensure the return of the textbook to the proper source/student.
Download Print Form

Braille Transcription Syllabus Form

Used for all books in need of braille transcription, prioritizing the use of chapters in the order in which they will be used. No textbook will be considered for transcription without a Braille Transcription Syllabus. The TVI will be notified in the instance that a Braille Transcription Syllabus is required.
Download Braille Transcription Syllabus