Utah State Library for the Blind and Disabled

Application Instructions

The library is now able to accept faxed or electronic applications for library service.

The application must be signed (not a signature stamp) by a "competent authority" certifying that the applicant has a qualifying condition. In the case of a Reading Disability, the form must be signed by a Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.). Visual and physical impairments may be certified by other professionals. The competent authority may not be a member of the applicant's family. This signature of certification is essential in order to receive library service.

The information pertenent to the application also must be legible.

Please fill out the Application For Free Library Service completely regarding the type of equipment required, service preferences, and reading interests. All equipment is on loan, free of charge, in accordance with policies and procedures of the National Library Service for the Blind and Physically Handicapped of the Library of Congress.

The completed application can be faxed to 801-715-6767, or scanned and emailed to blind@utah.gov. The application can also be mailed to the library at:

Utah State Library - Program for the Blind and Disabled
250 N 1950 W, Suite A
Salt Lake City, UT 84116-7901

NO POSTAGE IS REQUIRED.

Application Form

When your application is received, the equipment requested and appropriate catalogs and informational materials will be sent to you.

If you have any questions, please do not hesitate to call one of the phone numbers listed above, Monday - Friday, 8:00 AM to 5:00 PM. You may leave a message after hours. You may also email the library at blind@utah.gov. The Library staff looks forward to serving you.

Sincerely,

Staff of the Utah State Library for the Blind and Disabled