405 Capitol St., Suite 800, Charleston, WV 25301 - 304-558-1675 v/tty (in WV only) - Toll Free 866-461-3578 v/tty - 304-558-0937 Fax - Video Phone: 304-932-0687
Notice: Records relating to recipients of the WV Commission for the Deaf and Hard of Hearing are confidential except for those portions defined by the state law as public information.
To find out the extent to which the information provided on this application form may be released to other individuals, institutions, or agencies consult the West Virginia Commission for the Deaf and Hard of Hearing. Also, please read Return of Equipment information provided.
and complete the six-page application form
TCD Application Form
WV Census Form send to the WVCDHH by mail. A copy of a valid driverís license with
a legible deaf or hard-of-hearing designation may be substituted for page 6.
____TCD Application Page 1-5 (Required)
____Page 6 OR driverís license with deaf or hard-of-hearing designation
____Copy of hearing test or audiogram (may be omitted with driverís license)
____WV Census Form
____Low-Vision Form (Optional)