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DEPARTMENT OF WORKFORCE SERVICES DIVISION OF VOCATIONAL REHABILITATION Application Worksheet APPLICANT INFORMATION Last NameFirstDate of Birth. I. Street AddressApartment/Unit #CityStateMailing AddressCityPhoneAlt
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01
To fill out the division of vocational rehabilitation form, follow these steps:
02
Begin by entering your personal information in the designated fields. This may include your name, address, contact information, and Social Security number.
03
Provide details about your current employment status and any disabilities or impairments that may affect your ability to work.
04
List any previous work experience or education that is relevant to your vocational rehabilitation needs.
05
Describe your career goals and the specific services or assistance you are seeking from the vocational rehabilitation program.
06
Include any supporting documentation or medical records that may be required to support your claim.
07
Review the completed form for accuracy and sign and date it before submitting it to the appropriate vocational rehabilitation agency.

Who needs division of vocational rehabilitation?

01
The division of vocational rehabilitation is designed to assist individuals with disabilities or impairments that affect their ability to work.
02
This program is intended for individuals who are seeking employment or need support to maintain their current job due to disabilities.
03
They may be eligible for various vocational rehabilitation services such as training, job placement assistance, assistive technology, and counseling.
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Division of vocational rehabilitation is a program that helps individuals with disabilities prepare for, obtain, and maintain employment.
Individuals with disabilities who are seeking vocational rehabilitation services are required to file a division of vocational rehabilitation.
To fill out a division of vocational rehabilitation, individuals need to contact their local vocational rehabilitation office and schedule an appointment to complete the necessary paperwork and assessments.
The purpose of division of vocational rehabilitation is to assist individuals with disabilities in achieving their employment goals through training, education, and support services.
The division of vocational rehabilitation must include information about the individual's disability, employment goals, current work status, and any previous vocational rehabilitation services received.
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