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Get the free dsb-4004-VR-ia.pdf. VR/ Rehabilitation Application

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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICESREHABILITATION APPLICATIONDIVISION OF SERVICES FOR THE BLIND VOCATIONAL REHABILITATION1. NAME2. INDIVIDUAL NO.4. MAIDEN NAME5. EMAIL ADDRESS6. ADDRESSCITY7.
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The dsb-4004-vr-iapdf VR rehabilitation application is a form used to apply for vocational rehabilitation services, which assist individuals with disabilities in gaining employment and achieving independence.
Individuals with disabilities who seek vocational rehabilitation services in order to improve their employment opportunities are required to file the dsb-4004-vr-iapdf VR rehabilitation application.
To fill out the dsb-4004-vr-iapdf VR rehabilitation application, applicants should provide personal information, details about their disability, education background, work history, and any previous rehabilitation services received, while ensuring all sections are completed accurately.
The purpose of the dsb-4004-vr-iapdf VR rehabilitation application is to assess the eligibility of individuals seeking vocational rehabilitation services and to initiate their journey towards obtaining employment and achieving self-sufficiency.
The dsb-4004-vr-iapdf VR rehabilitation application requires reporting personal identification, details about the applicant's disability, previous education and skills, work experience, and specific goals for rehabilitation.
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