We recommend using the Funding Submission Assistant to complete forms and the Speech Language AAC Evaluation on-line. However, if you need to print forms for submitting a request for funding a PRC device, use the Funding Forms Locator. The locator will create a custom list for you, based on Client's State of Residence, Submission Type, and Funding Source.

To view sample evaluations please visit AAC Templates and Resources..

Some funding forms are available in Spanish. For a complete list, please contact our Funding Department.

Contact Funding

  • Phone

    Monday through Friday
    8 a.m. – 5 p.m. ET
  • Fax

  • E-mail

  • Mail

    Prentke Romich Company
    1022 Heyl Road
    Wooster, OH 44691