WATR Forms

Find all the forms and resources you need to access assistive technology services in one place. Whether you’re requesting a device loan, demonstration, or donation, completing assessments or authorizations, applying for accessible educational materials (AEM), or exploring opportunities to participate in the Assistive Technology Advisory Council, these forms help connect you with the tools, training, and support offered by WATR. Download, complete, and submit the forms that match your needs, or contact WATR at (307) 766-2051 or watr@uwyo.edu for assistance.

PRWORA Eligibility Form

In compliance with the new regulations, as of Dec. 1, 2025, WIND/WATR will need to receive a PRWORA eligibility form from individuals who participate in trainings, receive services, borrow equipment, or benefit from our federally funded projects. Individuals who have existing devices out on short term loan from WATR, individuals wanting to obtain new devices loans, and individuals participating in our demonstration/training events will need to complete the PRWORA Eligibility form. The PRWORA Eligibility Form  will need to be downloaded from the website (see button below), saved with your information and signature, and then returned to watr@uwyo.edu. You may also use pdf version of the file. If you prefer, you may print and fax the form to us at 307-766-2763.  If you fax the form, please notify us of the incoming fax by email or phone call to 307-766-6187 or 1-888-989-9463.  You may also sign the form in person at the WATR lab office (College of Health Sciences, Office 151). 

PRWORA Eligibility Form (PDF)

Forms

Loan Agreement (PDF)

 

Donation Form

 

Reuse Survey

 

WyRAMP

  • WyRAMP Loan Agreement to be completed only for the WyRAMP Project.

 

Device Demonstration

  • You can request a device demonstration by using our online request form or contact WATR by calling (307) 766-2051 or emailing watr@uwyo.edu.

Wyoming Student Eligibility Form

Download this form for student eligibility for visual impairment or blindness; physical limitations; or reading disibilities. This form needs to be printed and mailed or faxed to

Leslie Betchel Van Orman

Wyoming Department of Education

320 West Main

Riverton, WY 82501

Fax: (307) 857-9257

 

Request Form for Accessible Media

Download this two-page form to request AEM for a student. This form may be printed or emailed back to NIMAS/AEM. If emailing, please attach the completed form to the email. If you receive a security warning in Word, click "options" and choose "Enable this content", then select "OK." If mailing, please send to

Wyoming Accessible Education Materials (AEM) Clearinghouse

Wyoming Institute for Disabilities

University of Wyoming

Dept. 4298, 1000 E University Avenue

Laramie, WY 82071

AT Advisory Council Flier

Wyoming Assistive Technology Resources (WATR) is looking for users of assistive technology/self-advocates, family members, and professionals who serve individuals with disabilities to join our Assistive Technology (AT) Advisory Council.

Consider joining our next Council meeting in the spring or fall! You can join through Zoom or in person at the designated location to learn about WATR and consider serving on our council. 

The WATR Council members advise the WATR staff about strategies to reach and serve individuals with disibilities, families, and professionals in Wyoming. The Council also provides an opportunity for members to voice interests and views on issues related to device loans, trainings, demonstrations, research and information, and assistance. The Council meets twice a year in the spring and fall with lodging and transportation reimbursement for Council members provided.

AT Advisory Council Form

Please complete this form and submit. A WATR staff member will be in touch with you shortly.

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