Audio Transcription Order Form for Leisure, Vocational and Personal Materials

Use this form if you are requesting audio transcription of print material that is for your individual use. Use a separate form for each book or set of materials. If you have any questions, please call us at 651-539-1422, 1-800-652-9000 or TTY 1-888-665-3276 and ask for the library technician.

This form consists of 5 parts: (1) audio type; (2) book information; (3) customer information; (4) transcription instructions; and (5) signature. Be sure to complete all sections.

Mail to Audio Services, Communication Center, State Services for the Blind, 2200 University Avenue West #240, Saint Paul MN 55114-1840:

Audio Type

Include Braille Labels?

Book Information

Customer Information

Qualifying Print Impairment

Customer Agreement and Copyright Notice
.

Permanent address, if different than above

Transcribing Instructions

Indices will not be transcribed. Pictures and maps will be identified and captions read; they will not be described. Provide specific transcribing instructions as indicated below. Note any other instructions in the "Special Instructions" area.

Page Numbers

Transcribe Checked Items

-

Tables, Charts, Graphs, Diagrams, Figures

Footnotes

Signature