All forms are in PDF format and require Acrobat Reader, available for free download from Adobe.
- Referral Form
- This form is used to place a client on the waiting list and must be completed by either a VR counselor or by designated staff. Within VR’s intranet it is known as the Gemini 20 form.
- Download (PDF)
- Employment Services Agreement
- This is an agreement signed by a client and a provider that specifies the amount and cost of services to be provided. It authorizes a CRP to bill IDVR’s Extended Employment Services program for the designated services.
- Download (PDF)
- Individual Plan
- This form is completed annually by a CRP for each service provided to a client.
- Download (PDF)
- Sample Individual Plan Individual Plan Hints
- Progress Report
- Used to record the details of a client’s progress at 6-month intervals.
- Download (PDF)
- Sample Progress Report
- Outcome Measures Report
- Download (PDF)
- Provider Agreement
- Download (PDF)
- IDAPA Rules
- Download (PDF)
