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N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICESDIVISION OF SERVICES FOR THE BLIND VOCATIONAL REHABILITATIONTRANSPORTATION SERVICES INSTRUCTIONSPURPOSE To document driver miles with a DSB eligible individual.
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01
Obtain the dsb-4058-vr-instructionspdf form from the appropriate source.
02
Read the instructions carefully to understand the requirements.
03
Fill out your personal information including name, address, and contact details in the designated sections.
04
Provide details about the transportation services you are requesting, including the pick-up and drop-off locations.
05
Specify any special needs or accommodations required during transportation.
06
Review the filled form for accuracy and completeness before submission.
07
Submit the completed form to the designated authority as per the instructions provided.

Who needs dsb-4058-vr-instructionspdf vr transportation services?

01
Individuals who have mobility challenges.
02
People attending medical appointments requiring transportation assistance.
03
Persons participating in rehabilitation services that need transport.
04
Anyone who is enrolled in programs that require transportation support.
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dsb-4058-vr-instructionspdf refers to a specific form or document related to transportation services for individuals in need of assistance, usually within the context of vocational rehabilitation.
Individuals seeking transportation assistance as part of their vocational rehabilitation program are typically required to file the dsb-4058-vr form.
To fill out the dsb-4058-vr form, individuals should follow the provided instructions, ensuring accurate completion of personal details, transportation needs, and any relevant supporting information.
The purpose of the dsb-4058-vr form is to document and facilitate the needs for transportation services for individuals participating in vocational rehabilitation programs.
Necessary information includes personal identification, details regarding transportation needs, service requirements, and any other relevant personal circumstances.
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