ATEL

State of Rhode Island - (ATEL)
Adaptive Telephone Equipment Loan Program

EQUIPMENT AVAILABLE

FORMS

INFORMATIONAL FACT SHEETS AND BROCHURES

ATAP PARTNERS

Not Eligible

RESOURCE LINKS

Adaptive Telephone Equipment Loan Program Committee
Agendas/Minutes
Committee Members

Adaptive Telephone Loan Equpment Program (ATEL)
c/o Office of Rehabilitation Services
40 Fountain Street
Providence, RI 02903
Denise Corson, Program Coordinator
(401) 421-7005 x357
(401) 222-1679 (TTY)
(401) 222-3574 (Fax)

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COMMENTS/QUESTIONS

I understand that all of the information will be kept confidential and will only be used as required for assistance, reports, and audits. By sending this form, it authorizes the ATEL Program to contact VERIZON to verify telephone service.

I hereby certify that all of the statements made by me on this electronic form are true and correct to the best of my knowledge and belief. As long as I am receiving services, I agree to notify the agency if there is any change of the information furnished on this form.

Today's Date

State of Rhode Island - (ATEL) Adaptive Telephone Equipment Loan Program