Equipment

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In order to be eligible to receive equipment at no cost through the Connecticut Equipment Distribution Program, please ensure you meet the criteria listed below. If criteria is met, please complete the required information and select the equipment that is right for you and submit. To see the equipment available, click here.

Applicant Must:

• Be deaf, hard of hearing, DeafBlind or have difficulty speaking
• Be a full-time Connecticut state resident
• Be a first-time EDP applicant
• Be 5 years old or older (Parental consent is required for those under 18 years old.)

Name *

First

Last

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Phone Type

• Home
• Mobile/Text
• VP

Date of Birth

Email *

What is your preferred contact method?

• Phone
• Email

Do you have high-speed internet?

• Yes
• No

Do you have home telephone service?

• Yes
• No

Would you like assistance with installation once your equipment arrives?

• Yes
• No

your once *List

Equipment RequestChoose OneI would like assistance choosing the equipment that best fits my communication needs.Provox® TruTone EMOTE® ElectrolarynxiPhone w/ Deaf/Hard of Hearing CustomizationiPad w/ Deaf/Hard of Hearing CustomizationiPhone w/ Speech Customization*iPad w/ Speech Customization*Android w/ Deaf/Hard of Hearing CustomizationAndroid Tablet w/ Deaf/Hard of Hearing CustomizationAndroid w/ Speech Customization*Android Tablet w/ Speech Customization*Amplified Corded PhoneAmplified Cordless PhoneVCO PhoneHCO PhoneCapTel® 840PLUSCapTel® 880iCapTel® 2400iTTY

*List requested speech AAC app here:

(See EDP booklet for details.)

I am applying for a communications device from the Connecticut Equipment Distribution Program and agree to the following:

• I understand that this program is for the equipment only and that the cost of a wireless plan, telephone plan, or internet plan is not included in the EDP.
• I agree to return my device to the Connecticut EDP if I move out of Connecticut within 3 years.
• I agree to return my device to the Connecticut EDP for repair if there is an issue with the equipment within 3 years. I understand my device is under warranty.
• I agree to notify Hamilton Relay, Inc. within thirty (30) days of any changes in my Connecticut address, phone number or email.

By my signature below, I certify that all of the above information is true, that I meet the program criteria, and I agree to the Terms and Conditions.

(Applicant or parent/guardian if under 18 years old)

Submit

Hamilton CapTel 840i

The CapTel 840i offers the size and feel of a traditional home phone with conventional buttons for navigating on-screen menus, contacting Customer Care, initiating speed dial and adjusting the tone and volume.

Order Your Hamilton CapTel 840i Today!

Hamilton CapTel 2400i

The CapTel 2400i is an ideal choice for individuals who prefer a more contemporary design and touch-screen technology. It features a large easy-touch display with multiple font sizes and colors for easy reading.

Order Your Hamilton CapTel 2400i Today!

Learn about all your equipment options at: https://www.weitbrecht.com/captel-connecticut.html

Both the Hamilton CapTel 840i and the Hamilton CapTel 2400i are available for $75 (including shipping and a 30-day money back guarantee). So if you or someone you care about just can’t hear on the phone, see the difference one phone call can make with Hamilton CapTel.

FEDERAL LAW PROHIBITS ANYONE BUT REGISTERED USERS WITH HEARING LOSS FROM USING INTERNET PROTOCOL (IP) CAPTIONED TELEPHONES WITH THE CAPTIONS TURNED ON. Automatic speech recognition software generates captions of what the other party to the call says, and, in certain circumstances, a live communications assistant may be included on the call to make needed corrections and/or add call details. The captions are then sent to the phone. There is a cost for each minute of captions generated, paid from a federally administered fund. To learn more, visit fcc.gov.