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U.S. Currency Reader Application Form

All U.S. citizens, or persons legally residing in the U.S. who are blind or visually impaired can request a free currency reader from the Bureau of Engraving and Printing by downloading the application below. The application is provided in both English and Spanish.  The application must be filled out completely, signed by a competent authority who can certify eligibility, and returned to the mailing address provided on the form.
 

PLEASE NOTE: The applications provided below are "form fillable" PDF files. While most of the fields can be filled out online, the application cannot be submitted electronically and must be mailed to the BEP for processing.