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Suggest an Item for Assistive Technology for Kansan's Device Loan System

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Directions: Ask staff at the ATK Device Loan System or at your regional AT Access Site to check the most updated inventory list to verify that the item is not already in the inventory.

You can submit your suggestion online using the form below. You may also fax or mail a completed form to:

OCCK
ATK AT Device Loan System
PO BOX 1160
Salina, KS 67401
FAX: 785-452-9374

Online Submission

Complete this form, providing as much information about the requested product as possible. This information, together with data on frequently requested items, helps us maintain an inventory that responds to the needs of Kansans with disabilities and older Kansans.









Requested by: