Hard of Hearing

Quickly and easily complete the entire process online, including getting your doctor/professional's signature. Click below to begin your online application now.


Amplified Phones, Captioned Phones, Hard of Hearing iPhone, and Cell Phone Amplifier


  1. Resident of Illinois with hearing loss to the extent that you can no longer use the standard phone system.  (no certain level level of hearing loss required)
  2. Have active phone service
    • Standard
    • Cellular
    • Pre-Paid
  3. Have your application signed by your:
    • Doctor or Audiologist
    • Speech-Language Pathologist
    • Hearing Aid Specialist
    • Nurse Practitioner/Physicians Assistant

Prefer to print and mail your application?

Click HERE to Download Application

Click HERE to Download Loan Agreement Form for the Hard of Hearing iPhone

Click HERE to Download Equipment Sheet

For information on the DeafBlind program, please visit icanconnect.org or contact the ITAC office.