Technology Assistance Program Application


Map of Regions (opens in a new window)

"Family" means the applicant, his dependents and any person legally required to support the applicant, including a spouse.

Family Gross Income is:

"Gross Income" means the income, total cash receipts before taxes from all sources of the applicant, his dependents, and any person legally required to support the applicant, including a spouse.

Documentation Required - VDDHH will contact you to request required documentation
Primary Phone Type:
Secondary Phone Type:

Applicant Acknowledgement and Signature

I understand and agree that:

  1. All information provided above is accurate.
  2. Providing false information may result in denial of my TAP application, and any equipment issued must be returned.
  3. If I move before I receive my equipment, I will inform VDDHH of my new address.
  4. My personal information may be shared with D/HH Specialists for equipment delivery.
  5. VDDHH is not responsible for my telephone or internet bill.
  6. I accept responsibility for the equipment, including repairs and maintenance costs.
  7. If I do not qualify for equipment at no cost, I have the option of paying the state contracted cost for equipment.
  8. I will need to submit documentation/proof of my Virginia Residency, Family Size income, or Veteran status when requested by the TAP Administration.