Request Equipment Form

Make your next event accessible!

An Assistive Listening Device FM system with headphones, a receiver, and a transmitter.

How to use the Form

Equipment Loan Program relaunching in Fall 2021! Join our listserv to stay up-to-date! Want to offer an accessible service at your next event, but don’t have equipment? CCAC offers free short-term equipment loans to Chicago-area cultural organizations. Complete the information below. You will be contacted with more information following your initial request. Note that completing this request form does not guarantee your request.

Questions? Please contact Equip@ChicagoCulturalAccess.org.

The CCAC Accessible Equipment Loan Program is made possible in part by the PERT Foundation and Michael and Mona Heath Fund. Special thanks to Chicago Academy of Sciences / Peggy Notebaert Nature Museum.

Equipment Loan Booking Form

Name of Event

Accessibility Services

Assistive Listening

Audio Description

Closed Captioning

Open Captioning

Your Name

Have you borrowed from CCAC before?

yes

Organization

Address

City

State/Province

Zip/Postal

Country

Phone

Date of First Event

Date of Final Event

Pickup Date

Return Date