Follow the steps to complete the application packet effectively.

1. Click the ‘Get Form’ button to obtain the form, which will allow you to open it in your preferred document editor.
2. Begin filling out the personal information section, including your name, address, phone number, date of birth, and email address. Ensure each entry is accurate and legible.
3. Provide your social security number and emergency contact details. Indicate whether you have previously applied for VR services and share your disability information.
4. In the work history section, list your most recent employers, including addresses, job titles, and employment dates. Be sure to describe any skills gained during employment.
5. Complete the education and training section, detailing your highest educational attainment and any certifications or special trainings.
6. In the disability/medical condition section, describe your limitations that affect your ability to work and any technology or support you may require.
7. Complete the physicians and medications section by providing information about your healthcare providers and any prescribed medications.
8. Follow with the public benefits/income section, indicating your gross income from various sources, including wages and any benefits received.
9. Lastly, review the application to ensure all fields are filled accurately before signing and dating the form. Save your changes and prepare to submit.
10. You can now save, download, print, or share the completed form as needed.

Complete your application online today to take the first step towards achieving your employment goals.