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DATE: TO: Deloris L. Jay, CRC, CCM Vocational Rehabilitation Coordinator NH Department of Labor VOCATIONAL REHABILITATION CLOSURE FORM EMPLOYEE DATE OF INJURY SOCIAL SECURITY NUMBER EMPLOYER OF INJURY
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How to fill out date vocational rehabilitation closure:

01
Make sure you have all the necessary documentation and information ready. This may include your personal information, details about your vocational rehabilitation program, and any relevant supporting documents.
02
Begin by filling out the top section of the form, which usually includes your name, contact information, and the date of closure.
03
Next, provide details about the vocational rehabilitation services you received. This may include the type of services, duration, and outcomes achieved.
04
In some cases, you may need to explain why you are requesting closure. This could be due to completing the program, finding employment, or any other relevant reason.
05
If applicable, include any additional information or comments that may be necessary. This could be about the overall experience, feedback for improvement, or any other relevant details.
06
Sign and date the form to confirm its accuracy and completion.
07
Submit the form to the relevant vocational rehabilitation agency or organization as instructed.

Who needs date vocational rehabilitation closure?

01
Individuals who have participated in a vocational rehabilitation program and have completed or reached a significant milestone in their journey may need to fill out a vocational rehabilitation closure form.
02
It is also required for individuals who have found employment and are no longer actively pursuing vocational rehabilitation services.
03
The closure form helps to document the outcome of the program and serves as a record of the individual's progress and achievements.
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Date vocational rehabilitation closure is the date when a vocational rehabilitation program for an individual ends.
The vocational rehabilitation counselor or program provider is required to file the date vocational rehabilitation closure.
Date vocational rehabilitation closure can be filled out by documenting the end date of the vocational rehabilitation program and any outcomes or achievements during the program.
The purpose of date vocational rehabilitation closure is to officially document the end of a vocational rehabilitation program and assess the success of the program.
The date vocational rehabilitation closure should include the end date of the program, any goals achieved, services received, and any future recommendations.
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Relevant keywords

LSS NRP RWN LDH BCR OOO MMO Deloris RWS CRC NH CCM Vocational REFERRAL Relocation refusal Coordinator Rehabilitation

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