Forms

If you are a Job Seeker applying for Case Management services, you will need to fill out a USOR Application or USOR Application Large Print.

 

If you are seeking Training and Adjustment Services from the Division for the Blind and Visually Impaired, you will need to fill out a Student Application Information Form.

 

If you already receive Social Security disability benefits and need to know how working affects your benefits, you will need to fill out a UWIPS Referral form.

 

If you are seeking a free consultation with the Utah Center for Assistive Technology, you will need to fill out a UCAT Referral form.

 

If you want services from the Low Vision program at the Division of Services for the Blind and Visually Impaired, you will need to fill out a Low Vision Referral form.

 

If you would like to be a Community Rehabilitation Partner, you will need to fill out a Community Rehabilitation Partners Application.

 

If you would like to be a Private Training Provider, you will need to fill out a Private Training Facility Application.