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Choices for Care Moderate Needs ProgramParticipant Name: Case Manager Name: CFC/MOD 905 Checklist9/2020DOB: Phone: All paperwork must be completed and signed for processing. Incomplete information
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How to fill out vt department of disabilities

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Start by visiting the website of the VT Department of Disabilities or obtain a physical copy of the application form.
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Read through the instructions provided carefully to understand the requirements and information needed.
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Gather all the necessary documentation such as personal identification, medical records, and any supporting documents that verify your disability.
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Complete the application form by filling in all the required fields accurately and truthfully.
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Provide any additional information or documentation requested, ensuring you meet the necessary eligibility criteria.
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Double-check your application for any errors or incomplete sections before submitting it.
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If submitting online, follow the instructions on the website to electronically submit your application. If submitting a physical copy, mail it to the designated address.
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Wait for confirmation of receipt from the VT Department of Disabilities and be prepared to provide any additional information or attend an interview if requested.
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Keep a copy of your completed application and any supporting documents for your records.
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Follow up with the VT Department of Disabilities if you haven't received any updates within the specified timeframe.

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Any individual who resides in Vermont and has a disability can benefit from the services and support provided by the VT Department of Disabilities.
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This includes individuals with physical disabilities, intellectual disabilities, developmental disabilities, sensory impairments, mental health conditions, and other disabilities that significantly impact their daily functioning.
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Children, adults, and seniors with disabilities may all require the assistance and resources offered by the department to enhance their quality of life, access necessary accommodations, and explore opportunities for education, employment, and community participation.
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The Vermont Department of Disabilities, Aging, and Independent Living (DAIL) is the state agency responsible for promoting the independence and well-being of Vermonters with disabilities.
Service providers, employers, and organizations receiving funding from DAIL may be required to file reports with the department.
The reporting requirements and forms for filing with the Vermont Department of Disabilities can be found on the department's website or by contacting DAIL directly.
The purpose of the Vermont Department of Disabilities is to ensure that individuals with disabilities have access to necessary services and supports to live independently and participate fully in their communities.
Information such as services provided, demographic data of individuals served, outcomes achieved, and funding sources may need to be reported on the vt department of disabilities form.
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