| Department or Initiative |
Academic Program, department or initiative served by the technology |
Optional |
| Additional information |
Any additional information about the acquisition that may relate to accessibility |
Optional |
| Intended Users |
Check all that apply |
Required |
| Scope of Intended Use |
Check all that apply |
Required |
| Which campuses/business units will use the product? |
Check all the campuses/units that are intended to use the technology |
Required |
| Responsible Person |
Enter the NAME of the university employee responsible for completing the Accessibility Review process. Typically this is the faculty or staff person whose program, activity or course is supported by the technology. If the product is sponsored by a committee, enter the committee chair. If an RFP is involved enter the Strategic Procurement Sourcing Manager's Name. |
Required |
| University Department |
Enter the university department responsible for the program, course or activity that employs the technology. |
Required |
| Course Name(s)/IDs |
If applicable enter the name and ids of the courses, or types of courses, served by the technology |
Optional |
| Responsible Person - Email |
If the "Responsible Person" is not the one completing this form, enter their EMAIL address here. |
Required |
| Is this, or a similar, technology already in use in the University? |
If unsure, check with your Campus IT Officer. |
Required |
| Have you requested, received or found an ACR (accessibility conformance report) such as a VPAT for the product? |
It is the responsibility of the requester to collect accessibility conformance information for the product. The review may not be able to proceed without this information. Use of a technology/product at other higher education institutions does not constitute evidence of accessibility conformance. |
Required |
| Known Access Barriers? |
List any known access barriers to the technology for persons with a disability. |
Optional |
| Type of Acquisition |
New Purchase/Acquisition or Renewal? |
Required |
| Manufacturer-Provided Accessibility Conformance Report (VPAT) |
Please upload a copy of the Manufacturer's Accessibility Conformance Report (completed VPAT or similar). If you cannot find a report on the manufacturer's website you should ask for it from their sales or support areas. If the manufacturer requires you to sign a "non-disclosure agreement" in order to obtain the report, please forward their request to: AccessibleIT@maine.edu. |
Optional |
| Type of Digital Technology |
Select the categories that the technology fits in to. |
Required |
| Type of Device Used? |
Select the types of devices that the technology is used with. |
Optional |
| Technology or Product website |
The address of the website (may be copied from the address bar of your web browser while visiting their site). Should start with http:// or https:// |
Required if applicable |
| Technology or Product Name |
The product name (as searchable on google.com or the manufacturer's website) |
Required |
| Technology or Product Description |
What does this product do and/or allow the user, or the university, to accomplish? |
Required |
| Intended Availability Date |
When is the product expected to be available to use by? |
Optional |
| Does the technology include streaming video or audio? |
Yes/No/Don't Know |
Required |
| Will this technology support academic activities? |
Yes/No/Don't Know |
Required |