Institutional Alternative Service Application Form

To be completed by staff of hospitals, nursing homes, schools, etc.

I am a staff member of a facility offering programs for person with a print disability as defined in section 32 (I) of the Canadian Copyright Act, and I declare that these alternative materials borrowed on this card will be made available only to clients with a print disability.

Upon receipt of this application you will be contacted by our staff to discuss method of service delivery, selection preferences and any other needed details.