
Get the free Iatp Wipa Referral Form 8 2015apdf - iltech
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Work Incentive Planning and Assistance
1020 S. Spring Street
Springfield, IL 62704
Voice / TTY: 8008525110, Voice: 2175227985, Fax: 2173210967 Send to Attn: Barb Tucker
Ron Juliana, Program Director
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How to fill out iatp wipa referral form

How to fill out iatp wipa referral form:
01
Start by entering your personal information such as your name, address, and contact details in the designated fields.
02
Provide your social security number and any other required identification information.
03
Next, indicate your current employment status and the name of your employer, if applicable.
04
Specify if you are receiving any disability benefits and provide details about the benefits received.
05
If you have any medical conditions or disabilities, describe them thoroughly, including any treatments or accommodations you may require.
06
Indicate any previous participation or involvement in vocational rehabilitation programs.
07
Specify the services or assistance you are seeking from iatp wipa and explain why you believe you are eligible for these services.
08
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
Who needs iatp wipa referral form:
01
Individuals with disabilities who are looking for support or services related to vocational rehabilitation.
02
People who require assistance with employment-related issues due to their disabilities.
03
Those who wish to access the services provided by iatp wipa, which can include benefits counseling, job placement assistance, and vocational training.
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What is iatp wipa referral form?
iatp wipa referral form is a form used for referring individuals to the IATP program for assistance with work incentives planning and assistance.
Who is required to file iatp wipa referral form?
Individuals seeking assistance with work incentives planning and assistance are required to file the iatp wipa referral form.
How to fill out iatp wipa referral form?
To fill out the iatp wipa referral form, individuals must provide their personal information, details about their disability, work history, and any specific requests for assistance.
What is the purpose of iatp wipa referral form?
The purpose of the iatp wipa referral form is to connect individuals with disabilities to resources and support for achieving employment goals.
What information must be reported on iatp wipa referral form?
The iatp wipa referral form requires individuals to report their personal information, disability details, work history, and any specific requests for assistance with work incentives planning and assistance.
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