Streamline Assistive Technology Evaluations with Paperform

Finding the right assistive technology (AT) can transform a student's educational experience—but the evaluation process often involves scattered emails, paper forms, and disconnected follow-ups. This Assistive Technology Evaluation Request Form template brings structure and clarity to the process, helping special education coordinators, AT specialists, and support teams gather essential information in one organized submission.

Built for Special Education Teams and Student Support Programs

Whether you're working in K-12 special education, higher education disability services, or community learning programs, this template helps you:

• Understand current technology use and what's already working (or not working) for the student
• Identify specific barriers to learning across reading, writing, communication, mobility, and sensory needs
• Collect trial equipment requests so AT specialists can prepare appropriate tools for evaluation
• Route requests efficiently to the right team members based on student needs

The form captures detailed context—from classroom challenges to preferred learning styles—ensuring your AT assessment starts with a complete picture. Conditional logic reveals follow-up questions only when relevant, keeping the experience focused without overwhelming families or educators.

Automate Your AT Workflow with Stepper

Once a request is submitted, you can use Stepper to automatically notify your AT specialist team, create calendar holds for evaluations, update your student information system, and send confirmation emails with next steps to parents and teachers. This means less administrative work and faster response times for students who need support.

Professional, Accessible Forms—No Coding Required

Paperform's doc-style editor makes it easy to customize this template with your district branding, add video resources or visual supports, and embed the form directly on your school website or parent portal. With conditional logic, calculation fields, and file uploads built in, you can adapt the form to match your exact evaluation protocols.

Trusted by educators and support teams worldwide, Paperform helps you deliver responsive, organized special education services that keep students at the center.