For Massachusetts residents with disabilities, the Financial Loan Program provides low, 3.75% interest rate loans over $2,000 for the purchase of assistive technology products and services including vehicles, wheelchairs, hearing aids, and vision assistance technology. Any items defined as assistive technology are allowed.
The applicant must be a Massachusetts resident with a disability or acting on behalf of a relative with a disability.
Eligible for assistive technology devices or services costing more than $2000.
All sections of the application must be complete to be considered including the signed certification and authorization forms. A checklist at the bottom of this web page is provided for your convenience.
If employed, a minimum of 2 months of the most recent pay stubs is required. If not employed, please provide a copy of all forms of income including an SSDI or SSI award letter, etc. Depending on the applicant, additional financial documentation may be required.
Low, 3.75% interest rate for the life of the loan without a prepayment penalty. The length of the loan depends on the device or service.
Please see our FAQ section for more information and answers to common loan program questions.
Online Application Form
Before you Submit
Before submitting this application, did you…
Attach a formal, written quote on a vendor’s company letterhead or a print out from a reputable source including the requested device or service and the total price including taxes, shipping, etc?
Attach proof of income*?
If self-employed, attach your IRS tax returns (including all schedules) for the past two years.
If employed, attach two (2) months of your most recent pay stubs from your employer.
If you receive SSDI or SSI, attach your most recent award letter that you received showing your benefits income.
*If you have additional income such as rental, child support, etc, acceptable documentation includes:
a) copies of court documents verifying this income
b) copies of IRS tax returns (including all schedules) for the past two years.
Attach a proof of Massachusetts residency? A copy of one of the following.
Utility bill in your name
Attach an acceptable documentation of disability? A copy of one of the following.
A signed doctor’s letter
SSDI or benefits award letter
Complete all parts of the application?
If a question does not apply to you, write N/A or draw a line through that field so we know that you did not forget to answer any questions.
Sign, initial, and date where required**?
**If you have a power of attorney authorized to sign for you, please send the power of attorney document with this application.