Forms and Resources
Note: Most forms here are fillable after downloading. They must be saved to your computer before you can fill them out

2020 Scholarship Forms will be available soon

NOTE:  You will need  to print three copies of the Scholarship Reference Letter regardless of the version of the Scholarship Application you use.
2019 Scholarship Reference Letter
2019 Scholarship Application, hand (pen) fillable
 Download this  the 2019 Scholarship form  print it, fill and mail it to the address included on the form. 


Judy Markowski, chair of our Chapter's Legislative Committee, has updated the New York State Legislator form.
Download the form, fill it in and save it for future use. NOTE: You may want to make a copy of this form before you fill it in and save the "blank" so that you can update it as needed.

Find your New York Legislators below

​​​​ ​​ New York State Assembly:


Our Rochester chapter as well as our National Organization provide a number of publications, that benefit people with hearing loss. Visit the National HLAA for some of the items below and addtional resources.

Note: Our Chapter takes care to list a number of valid surveys and studies in which people can participate  It is up to the participant to check the requirments and determine if they want to participate.
HLAA Rochester Chapter Brochure
HLAA Patient Brochure
RIT Smart Speaker Survey
Guide for Effective Communication in Health Care and Communication Access Plan
HLAA Employment Toolkit

Do you have questions about the Americans with Disability Act?

Summary of ADA
Contact our Region 2 Center. They will provide direct answers to your questions about the ADA.

Region 2 (New Jersey, New York, Puerto Rico, U.S. Virgin Islands)

Northeast ADA Center  203 Dolgen Hall Ithaca, NY. 14853
607-255-6686 [email protected] 

Talk to an ADA Specialist:1-800-949-4232 National office
A Guide to Hearing Tests

A Guide to Hearing Tests

Resouces/ vendors

Many devices cannot be obtained locally. The link below will provide a list of vendors and local service providers.

Holidays with Hearing Loss

Holidays with Hearing Loss
Holidays can be a real challenge for people with Hearing loss. Feeling frustrated and excluded are common. Here are some suggestions to help get through challenging holiday situations.
Hearing Loss Tips

Find more helpful Information on our "Hearing Loss Tips" page

Emergency Preparedness

Being prepared for an emergency is always a good idea. Having a plan relieves a tremendous amount of stress. Although we can't prepare for every single possible scenario, we all can do something to make our situation easier or at least tolerable during an emergency.

People who have a disability or medical condition that requires special attention are in the best position to know what addtional steps they will need to manage until communication is restored, help arrives, or the emergency is over.

Those of us with hearing loss can take steps to prepare ourselves for a possible emergency situation. The following links will provide guidence to planning and preparing for a variety of possible events.

Scott Smith, Captain and Paramedic
Lise Hamlin, HLAA Director of Public Policy
   (From an HLAA Webinar)

HLAA Preparedness Webinar

Information From the Red Cross and FEMA (Federal Emergency Management

Red Cross/FEMA

New York Communications Resources

NY Communications Resources
Some items you may consider having on hand, in addtion to recommended amounts of food and water are:

1. Extra hearing aid/CI batteries. Keep an extra pack or two and rotate them.

2. If you have hearing aids or CI that are old but still work or can be repaired, pack them in your "preparedness" bag. The ones you use on a daily basis may get wet, dropped or lost.

3. If you can benefit from a personal listener, have it (and a headset) handy, in the event you don't have access  your hearing aids...don't forget batteries for it.

4. You may consider a "hand crank" charger/ radio.

5. If you can manage a small portable generator, keep it charged and it may be just enough to keep you CI batteries, cell phone, radio, or rechargeable flashlight batteries charged

​Be sure you understand how to use your devices!