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Loan Applications

Fill out an ATLFA Direct Loan Application ( PDF or  Excel) and an ATLFA Personal Information Application (PDF or Word).

Send* both forms directly to the Assistive Technology Loan Fund Authority.  The Assistive Technology Loan Fund Authority loan committee will review your application at its monthly meeting.

*Please do not submit your loan applications to the Assistive Technology Loan Fund Authority via email because the applications are not encrypted and there is a risk for personal information to be obtained by others.