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My name is Linda Loftus, and I am the chair of the Indiana Committee for Communication Access, a small
group dedicated to advocating for people with hearing loss in Indiana.
Following the devastating fires in Maui and Los Angeles, it became clear that individuals with hearing loss
need to have records of their hearing devices and assistive technology readily available. In response,
Maureen Shader, a research scientist in the Speech, Language, and Hearing Sciences (SLHS)
Department at Purdue University, collaborated with our committee to develop an Emergency
Contact Form.
This form is a vital resource for individuals who use hearing aids, cochlear implants, or other assistive
devices. We strongly encourage them to complete it and store it alongside other important documents.
Additionally, we recommend sharing a copy with a trusted family member or friend who lives outside their
home. In the event of a fire, flood, or other natural disaster, having this information readily available can
help facilitate the replacement process.
We hope you will share this resource with your clients and encourage them to complete the form. If you
have any questions, please feel free to reach out to me at ljloftus574@gmail.com.
Sincerely,
Linda Loftus
Chair, Indiana Committee for Communication Access and HLAA Michiana Chapter Board Member
Access to Emergency Contact Form
The URL link to the Emergency Contact Form is https://drive.google.com/file/d/16n2UaWrV6Tcwq372OP5eNMwmWzzEK_WT/view?usp=sharing
It may be pasted anywhere in any document or email.
The URL to the QR image alone is: https://drive.google.com/file/d/16n2UaWrV6Tcwq372OP5eNMwmWzzEK_WT/view?usp=sharing
You can insert it anywhere as an easily accessible image e.g. on a poster or tabletop sign.
Thank you,
Ella Hurrell Secretary, HLAA Indianapolis Chapter
Linda Loftus, ICCA Chair and HLAA
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