IMClibrary@blind.state.ia.us
524 4th St. Des Moines, IA 50309
515-281-1323
Teachers of the visually impaired and school personnel can use the below order form to order accessible instructional materials in braille, large print, and electronic formats for students in grades Pre-K-12.
Person Submitting Form
Ship To (Staff Member):
Full Address
Teacher of the Visually Impaired (TVI) Information
Student Name
Does the Student have either of the following?
If yes, select paper size:
Order Type (Select all that Apply)
Media Type - Textbook
How will the student access the electronic braille?
File Type
Large Print set at 20
Will book be written in or pages torn out?
Font size is set at 20
Font size set at 20
How will the student access electronic braille?
Media Type - Worksheets/Electronic Document
Font size is set to 20
Upload File(s)
Media Type - Worksheets/Electronic Documents
Choose One
Will the book be written in or pages torn out?
Media Type - Little Readers
Will the pages be written in or torn out?
Media Type - Quick Braille
Will book written in or pages torn out?
Select One
Media Type - Assessments
FAST Reading Assessments
FAST Math Assessments & Progress Monitoring