Applications for LBPH Services and Accessories

Applications for Free Library Service and digital talking book player accessories are listed below. There is an application for individuals, institutions, and an individual application in Spanish for Free Library Service. Please review the eligibility requirements carefully. When finished, print the form and have an authorized individual certify the application as needed.

Mail or Fax completed forms to: 

Connecticut Library for the Blind & Physically Handicapped
198 West Street
Rocky Hill, CT 06067
Fax: 860.721.2056.

Note:  If faxed, the original form must still be mailed to the library.

Breath Switch Adapter Application     The patron completes Part I and submits the form to the LBPH.  The LBPH certifies the patron and forwards the application to NLS.
High Volume Player and Headphones Application     The high-volume player is a machine that has been specifically programmed by NLS to have an amplified volume of up to 120 dB. It can only be used with a set of headphones provided by NLS.  Because the high sound level of the player can cause permanent damage to hearing, all patrons applying for the high-volume player must be certified by a physician or audiologist.  Furthermore, a patron needs to be periodically checked for symptoms of additional hearing loss while in use. 
     To order a high-volume player, contact your reader advisor and ask for an application, or download the application.  The patron needs to complete Part I of the application and have a physician or audiologist complete Parts II and III to certify the application.  Then submit the application to the LBPH for further processing and final approval by the NLS.
Request for LBPH Demonstration Equipment     Public libraries and other institutions should use this form in order to set up a public display of talking book equipment and books.  Such displays enhance our outreach efforts and are greatly appreciated.