Rehabilitation Division
Forms and Documents
| Form or Document Name | Format(s) |
|---|---|
| Applications: | |
| Older Individuals Who Are Blind Application | |
| Nevada State Rehabilitation Council Annual Report: | |
| Annual Report 2022 | |
| Annual Report 2021 | |
| Nevada State Plan: | |
| Program Year 2020-2023 WIOA State Plan | |
| Biennial Report | |
| FY2019-2020 Biennial Report | |
| Nevada State Needs Assessment : | |
| Nevada Statewide Needs Assessment 2020 - 2022 | |
| Client Satisfaction Surveys: | |
| FFY 2019 Satisfaction Survey Report | |
| FFY 2016 Satisfaction Survey Report | |
| Job Developer Forms: | |
| Job Development Services Intake Accept or Reject | |
| Job Placement Plan | |
| Job Placement Plan Checklist | |
| 30, 60, 90 Verification of Employment and Job Retention | |
| Verification of Employment | |
| Other Forms: | |
| Auxiliary Aids for Effective Communication | |
Southern Nevada
Phone:(702) 486-5230
Northern Nevada
Phone:(775) 687-6860
We are working hard to keep Nevadans safe from fraud.
Please review fraud information to avoid accidental fraud.
NV Relay 711 or 800-326-6868
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities
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