Application

Please complete the DHS 2641- Application for Vocational Rehabilitation Services form and send back to any of the DVR offices below by dropping off in person, mail or fax.  There is no electronic submission at this time.

DHS 2641- Application for Vocational Rehabilitation Services

 

By individual or representative chosen by the individual, personal letter requesting services or agency application form. Applicant must provide information necessary to start the assessment to determine eligibility and priority for services, and must be available to complete the assessment process.