Application for Accessibility Services

If you need assistance completing this form, please do not hesitate to call: 218.766.2139

NTC Accessibility Services Application

Step 1 of 2

  • MM slash DD slash YYYY
  • Examples include: Vocational Rehabilitation, Veteran's Affairs, Social Services.
  • If you would like Accessibility Services to be able to speak to anyone outside of the NTC community about your records and information with our office, please list them below.
    NameRelationshipContact Information