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Wisconsin Notice of Potential Eligibility to Receive Vocational Rehabilitation Services

State:
Wisconsin
Control #:
WI-SKU-2363
Format:
PDF
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Description

Notice of Potential Eligibility to Receive Vocational Rehabilitation Services

The Wisconsin Notice of Potential Eligibility to Receive Vocational Rehabilitation Services is a form used by the Wisconsin Department of Workforce Development's Division of Vocational Rehabilitation (DVR) to determine whether an individual is eligible to receive vocational rehabilitation services. The form consists of two parts. The first part contains questions related to the individual's disability and vocational goals, and the second part contains questions related to the individual's education and employment history. The form must be completed and signed by the individual and returned to the DVR in order for the individual to be considered for vocational rehabilitation services. There are three types of Wisconsin Notice of Potential Eligibility to Receive Vocational Rehabilitation Services: 1. Initial Notice of Potential Eligibility for Vocational Rehabilitation Services: This is the first form that must be completed and submitted to the DVR in order to be considered for vocational rehabilitation services. 2. Renewal Notice of Potential Eligibility for Vocational Rehabilitation Services: This form is used to renew an individual's eligibility for vocational rehabilitation services. 3. Reinstatement Notice of Potential Eligibility for Vocational Rehabilitation Services: This form is used to reinstate an individual's eligibility for vocational rehabilitation services after their eligibility has expired.

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FAQ

Category 2 A consumer has a significant disability if a mental or physical impairment exists that seriously limits one to three functional capacities in terms of an employment outcome and whose vocational rehabilitation requires multiple services over an extended period of time.

The Division of Vocational Rehabilitation (DVR) is a federal/state program designed to obtain, maintain, and advance employment for people with disabilities by working with DVR consumers, employers, and other partners.

D.V.R. supported employment services are provided to customers with the most significant disabilities who want to get and keep a permanent job. These customers require intensive support to obtain employment, as well as long term support to achieve and maintain successful job performance.

Who can receive DVR services? Someone who has a physical or cognitive disability or mental health impairment that makes it difficult for one to get a job or keep a job. Documentation of the disability is required for eligibility determination.

After reviewing the following information, if you do not find a specific contact for your concern or question (or cannot reach either the contact or back-up), you may call 800-442-3477 or email dvr@dwd.wisconsin.gov and you will receive a response within three (3) business days.

The Division of Vocational Rehabilitation (DVR) is a federal/state program designed to obtain, maintain, and advance employment for people with disabilities by working with DVR consumers, employers, and other partners.

More info

What you get: Instant access to fillable Microsoft Word or PDF forms. This chapter explains how to gather the information that is necessary to develop a case and support the eligibility determination.Eligibility for Servicemembers. What is an Order of Selection? Eligibility and vocational assistance, except as otherwise provided in these rules. During implementation all eligible individuals within a priority category may not receive services. (24). If you have a disability which impacts your ability to get, keep, or maintain a job, you may want to apply for VR services. 436-120-0165 End of Eligibility for Vocational Assistance . Individuals with the most significant disabilities are selected first to receive vocational rehabilitation services. Employee has not requested V.R. services, any employee who has received temporary total disability benefits for ninety days shall be screened as provided below.

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Wisconsin Notice of Potential Eligibility to Receive Vocational Rehabilitation Services