Resource Request Form

PLEASE NOTE: Do not use this form to ask a legal question, apply for our services, or to file an appeal or complaint with our agency. To ask a legal question or apply for services, visit the How to Apply for Services page. To file an appeal or complaint, visit the Appeals and Complaints Process page.

You may use the following form to request the specific items listed in the form. Thank you.

"*" indicates required fields

Name *

First Last

Email *

Enter Email Confirm Email

Daytime phone number *

I need help with the following: *

If you need something that is not listed below, please call our main phone number at 512-454-4816 for assistance. If you need to request our services, do not use this form - please call 1-800-252-9108. Thank you.

I'm a parent and need a copy of your IDEA manual, a 90-page guide for Texas parents and students on Special Education Rights. (1 per family)

I'm a special education advocate or school professional and need a copy of your 90-page IDEA manual special education guide. (Limit is 2.)

I'm with a TWC VR office, an independent living center, or another provider of VR services and I need copies of your CAP brochure.

Multiple copies of one of our brochures or handouts. (Limit of 30)

A Braille version of one of your existing handouts or publications. (Please note that for our lengthier publications, we may offer select pages you need in Braille.)

An audio version of one of your existing handouts or publications. (Please note that for our lengthier publications, we may offer select pages that you need in audio.)

What existing DRTx resource do you need multiple copies of, and how many copies do you need? *

Education advocates and professionals, please indicate how many IDEA manuals you would like. (Limit is 2) *

What resource do you need in Braille? Please give the title of resource AND a link to it on our website. *

What resource do you need in audio form? Please provide the title of the resource AND a link to it on our website. *

Mailing address *

Please include the address that the item(s) should be mailed to.

Street - please include a unit or apt # if applicable) City State ZIP / Postal Code

Do you work at: (choose one)

A TWC/VR office

ILC

VR services provider organization

How many CAP brochures are you requesting? *

What is the name of the organization or office the CAP brochures should be mailed to? *

What address should the CAP brochures be mailed to? *

Street Address Address Line 2 City State ZIP Code

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