Foundation for Blind Children

Alternative Format Services

                                                                    Request Form
Media Center/Arizona Instructional Resource Center
1235 E. Harmont Drive, Phoenix, AZ 85020
Phone:602.678.5810 or 5816 Fax:602.678.5811
Please fill out one Alternative Format Services Request form per book per student. For Braille/large print/e-file requests, we require a hard copy of the print textbook/book. Please Note: Books must be scanned for production, so it will be cut. 
Please fill out the Certification of Eligibility/Copyright Use Consent form at (click on link for form) which must be signed and can be fax in.
If requesting a textbook with a copyright year of 2006 or newer, a NIMAS request form must also be fill out and signed at for each textbook and this can be fax in also.

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Renewal of a Book
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Textbook/Rec Book Infomation

Braille Production Preferences

Pagination: Because you selected Math or Science as the subject matter, we require this material to be Single Sided only.

Large Print Production Preferences

E-File/E-books Production Preferences

Delivery Preference

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Foundation for Blind Children / AIRC Terms and Conditions