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DEAL INITIAL REFERRAL FORMREFERRAL DATE: 1ST CONTACT/SCREEN DATE: Referral Date:NAME: First. I. Service Began: MT MLSTLastFES BIRTH DATE: RACE: GENDERMCAWFE&DSOCIAL SECURITY # COINSURANCE/MEDICAID:
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What is deap initial referral form?
DEAP initial referral form is a document used to refer individuals with disabilities to the Division of Employment Assistance Programs (DEAP) for vocational rehabilitation services.
Who is required to file deap initial referral form?
Employers, healthcare providers, or individuals themselves can initiate the referral process by filling out the DEAP initial referral form.
How to fill out deap initial referral form?
The DEAP initial referral form can be filled out online on the DEAP website or in person at a DEAP office. It requires basic information about the individual and their disability.
What is the purpose of deap initial referral form?
The purpose of the DEAP initial referral form is to help individuals with disabilities access vocational rehabilitation services to help them gain employment.
What information must be reported on deap initial referral form?
The DEAP initial referral form requires information such as the individual's personal details, contact information, employment history, and details about their disability.
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