Step 1: Fill out Application Form

Fill out an application form and get started!

For wireless devices, fill out the wireless application form and get started!

Or call us at (800) 606-5099 and we can mail one to you.

Or you can apply online!

Be sure to complete and sign your application so that you can expect a voucher or a response from us within one week. Telecommunications Access Iowa (TAI) requires all original signatures on the application form.

Traditional Application

Wireless Application
Panasonic KX TGM450 Captel phone Wireless Devices
Click on the form to open a PDF of the Traditional Application Form. Click on the form to open a PDF of the Wireless Application Form.
TAI Application Cover 2021 TAI Wireless Application Cover Pic

Note: You may need an Adobe Acrobat Reader to read the application form. If you don’t have the Acrobat Reader installed, go to the Adobe Acrobat Reader website for installation. If you have any questions about the application form or need any assistance in completing it, please contact the TAI office.

Step 2: Choose Your Equipment

Choose the type of equipment which best meets your communication needs for telephone use. You can also receive a “package” by selecting a headset, neckloop, loud/flashing ringer, and/or amplified answering machine. If you are unsure of which equipment will make telephone communication easy for you, click here to see a list of products that is offered through the TAI program and the equipment descriptions.

You may also contact any of the Equipment Vendor on the Equipment Vendor’s List for more assistance. Our showroom is available for you to come by and try out the products on display. Click here to get directions/map to our showroom. You may also contact us.

Step 3: Acquire Professional Certification

A licensed professional in the field of hearing or speech will need to sign the application form to verify that you have a need for a specialized telephone, such as:

  • doctor
  • nurse
  • audiologist
  • speech pathologist
  • hearing aid specialist
  • sign language interpreter
  • social worker
  • federal/state agency representative
  • a teacher for the persons with hearing loss or speech difficulties

Note: If you are re-applying to this program, you may not need to have this section completed. Simply write “My hearing/speech difficulties has not changed” in the section. Be sure to include your initials.

Step 4: Submit Application to TAI

Once you have completed the application form, you may send it to us in one of the following ways: