Please use the latest version of Adobe Reader when completing these forms.

Handwritten orders WILL NOT be accepted. Orders will be produced in the order they are received.

Adobe Reader XI is a free software download or mobile app, and is compatible with both Apple and Windows operating systems.



Recent updates to the Adobe Reader software have made our fillable pdf forms (Chaffee Eligibility and Order Form) incompatible with the older versions of Adobe Reader. You will not be able to save the data typed into the form if you are using an old version. Please update your Adobe Reader software to the latest version (11.0.6, link above) if you are having this problem, and the forms will work.


We've also found a compatiblity issue between the Apple pdf viewer software and the Adobe software used to manage these forms. Because of this issue, if you use the Apple pdf viewer to enter data in our forms, we will not be able to access the information you've entered. To avoid problems with your Order Form or Eligibility Form, please use the latest version of Adobe Reader to fill out these forms.

All Forms Below must be downloaded to your Computer or Device before editing

Recieve your digital files by email!! Select Electronic Delivery in the Media Type menu.



PDF Icon, Chaffee Eligibility Form.pdf

Chafee Eligibility Form
Request for Consideration of Services

(Required Yearly)




PDF Icon link to USIMAC Order form 2014-2015

USIMAC Order Form SY 2017-18
Order Form for Accessible Educational Materials

Please fill in this form using


PDF Icon, link to Eligibility Criteria.pdf

Eligibility Criteria

Explanation of Eligibility Criteria for Services

PDF Icon, Link to description of available formats

Instructions on Encrypting &

using Google Drive


PDF Icon, Link to description of available formats

Description of Available Formats




PDF Icon, Link to 2014-2015 USIMAC Order Form

USIMAC Order Form 2016-2017

(please use this form for all materials needed prior to August 2017)





PDF Icon, link to ERC Patron Agreement Forms


PDF Icon, Link to ERC Transfer of Media Materials Form

ERC Patron Agreement Form ERC Transfer of Media Materials Form


PDF Icon, Link to PDF Fillable Instructions for Adobe Reader 10

PDF Fillable Instructions
(Adobe Reader X)