ࡱ                >  	               `         c         ]  ^  _   #`	                 bjbj\.\.                  	 8& >D >D $      Q                                                                                                                  .      .      .  8   V.  t  /          ^     1    2:  (   Z:      Z:      V=      >  $  E    I    h]     j]      j]      j]      j]      j]      j]  $   w_  h  a  v   ]                           K                      >      >      K      K      ]                          Z:              V=  4  {^     P      P      P      K  X         Z:            V=      h]              P                                                      K      h]              P      P     XS                                                                         S      Z:    1     PM        .      VL  X   pS             tV    ^  0   ^      xS  ,   Ub      L    Ub     S                                                                              Ub                    S    K      K      P      K      K                                      K  L   K     K     ]      ]                                      ~P  X                                   K      K      K      ^      K      K      K      K                              z%                      z%                                                            {^                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          INCLUDEPICTURE "http://www.dss.mo.gov/fsd/rsb/manual/vrman/PROPOLMAN/rsblogo.jpg" \* MERGEFORMATINET State of Missouri - Rehabilitation Services for the Blind                                         Individualized Plan for Employment  (IPE)                                  Name FORMTEXT                                                                                                                                                                                                                           C a s e   #     F O R M T E X T             T y p e   o f   I P E     F O R M C H E C K B O X     O r i g i n a l                                                                    F O R M C H E C K B O X     A m e n d m e n t                                      F O R M C H E C K B O X     P o s t   E m p l o y m e n t               F O R M C H E C K B O X     S u p p o r t e d   E m p l o y m e n t              F O R M C H E C K B O X     E x t e n d e d   E v a l u a t i o n                 S p e c i f i c   e m p l o y m e n t   o u t c o m e   s e l e c t e d   b y   t h e   i n d i v i d u a l   c o n s i s t e n t   w i t h   t h e i r   a b i l i t i e s ,   c a p a b i l i t i e s ,   s t r e n g t h s ,   i n t e r e s t s ,   p r i o r i t i e s ,   c o n c e r n s ,   a n d   r e s o u r c e s :       F O R M T E X T             E x p e c t e d   E m p l o y m e n t   ( p l a n   c o m p l e t i o n )   D a t e :      F O R M T E X T              S e r v i c e s   N e e d e d   T o    R e a c h   M y   W o r k   G o a l  N a t u r e   O f   S e r v i c e   a n d   P r o v i d e r  F u n d i n g   S o u r c e  T o   B e g i n  R e v i e w   M e t h o d      F O R M C H E C K B O X       1   A s s e s s m e n t     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       2   C o u n s e l i n g   a n d   G u i d a n c e     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       3   P h y s i c a l / M e n t a l   R e s t o r a t i o n     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       4   V o c a t i o n a l   T r a i n i n g                     ( O J T ,   C o a c h i n g )       F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       5   C o l l e g e / U n i v e r s i t y   T r a i n i n g     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       6   A D L   B l i n d n e s s   S k i l l s   T r a i n i n g       F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       7   O r i e n t a t i o n / M o b i l i t y   T r a i n i n g     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       8   R e h a b i l i t a t i o n   E n g i n e e r i n g   S e r v i c e s     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       9   A s s i s t i v e   T e c h n o l o g y   A i d s / D e v i c e s     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 0   J o b   S e a r c h     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 1   J o b   P l a c e m e n t     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 2   M a i n t e n a n c e     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 3   T r a n s p o r t a t i o n     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 4   R e a d e r     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 5   I n t e r p r e t e r     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 6   S e r v i c e s   t o   F a m i l y   M e m b e r s     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 7   O c c u p a t i o n a l   T o o l s / L i c e n s e     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 8   P e r s o n a l   C a r e   A t t e n d a n t     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       1 9   E x t e n d e d   S e r v i c e   P r o v i d e r     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T                F O R M C H E C K B O X       2 0   O t h e r   ( S p e c i f y )       F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T              C l i e n t   R e s p o n s i b i l i t i e s :     ( c h e c k   t h o s e   t h a t   a p p l y )   I .   G e n e r a l                                                                                      F O R M C H E C K B O X       A p p l y   f o r   ( l i s t   i t e m s   s u c h   a s   s p e c i f i c   c o m p a r a b l e   b e n e f i t s   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n )        F O R M T E X T                  F O R M C H E C K B O X       R e g u l a r l y   r e v i e w   p r o g r e s s   w i t h   c o u n s e l o r      F O R M C H E C K B O X       I n f o r m   c o u n s e l o r   o f   a n y   c h a n g e s      F O R M C H E C K B O X       P r o v i d e   f i n a n c i a l   i n f o r m a t i o n   a s   a p p r o p r i a t e   I I .   T r a i n i n g        F O R M C H E C K B O X       E n r o l l / R e g i s t e r   ( a n d   p r o v i d e   t h e   d o c u m e n t a t i o n )      F O R M T E X T                 F O R M C H E C K B O X       P r o v i d e   c o u n s e l o r   w i t h   g r a d e   r e p o r t s     F O R M C H E C K B O X       A p p l y   f o r   P e l l   G r a n t   ( a n n u a l l y   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n )   I I I .   P l a c e m e n t      F O R M C H E C K B O X       L o o k   f o r   w o r k     F O R M C H E C K B O X       I n f o r m   c o u n s e l o r   w h e n   j o b   i s   f o u n d   I V .   O t h e r   C l i e n t   R e s p o n s i b i l i t i e s      F O R M C H E C K B O X       O t h e r   ( S p e c i f y )      F O R M T E X T             P o s t   E m p l o y m e n t   A s   a s s e s s e d ,   P o s t   E m p l o y m e n t   s e r v i c e s      F O R M C H E C K B O X     A R E        F O R M C H E C K B O X       A R E   N O T   i n d i c a t e d   a t   t h i s   t i m e   I   h a v e   b e e n   i n f o r m e d   a b o u t   a n d   i n v o l v e d   i n   c h o o s i n g   m y   g o a l s ,   s e r v i c e s ,   p r o v i d e r s   a n d   m e t h o d s   u s e d   t o   p r o c u r e   s e r v i c e s .            F O R M T E X T                  F O R M T E X T             C l i e n t   S i g n a t u r e   D a t e   Q u a l i f i e d   V o c a t i o n a l  C o u n s e l o r   S i g n a t u r e   D a t e     R e q u i r e d   I P E   r e v i e w   m u s t   b e   c o m p l e t e d   n o   l a t e r   t h a n :       F O R M T E X T                 M i s s o u r i   R e h a b i l i t a t i o n   S e r v i c e s   f o r   t h e   B l i n d   p r o v i d e s   V o c a t i o n a l   R e h a b i l i t a t i o n   ( V R )   s e r v i c e s   t o   i n d i v i d u a l s   w i t h   d i s a b i l i t i e s   w h i c h   a l l o w   t h e m   t o   p r e p a r e   f o r ,   e n t e r   i n t o ,      g  j  k  	  	   	  !	  +	  ,	   
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  ѿl\F                                              *jV  h  hR 5OJ QJ U^J  j    hqU 5OJ QJ U^J  *jXU  h  hR 5OJ QJ U^J  h  h_ 5OJ QJ ^J $j    h  h_ 5OJ QJ U^J  h  hm 5OJ QJ ^J h  h2 5OJ QJ ^J #h h2 5CJ OJ QJ ^J aJ hQ<B h2 5OJ QJ ^J hQ<B hQ<B 5OJ QJ ^J $j    hQ<B hQ<B 5OJ QJ U^J    k    	  	   	  
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                                      l            c            c            c            c                                                                      	  $If   gd_ ~  kdT  $$If   l             0  L,8  `' 
t  0                              +            4   4 
l a yt> 	  $If   gdRE   $$If   a$gd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     6
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      &  (  D  ƸshRG<h           hbC 5OJ QJ ^J h2 5OJ QJ ^J *jcX  h  h) 5OJ QJ U^J  h"# 5OJ QJ ^J *jW  h  h) 5OJ QJ U^J  h  h) 5OJ QJ ^J $j    h  h) 5OJ QJ U^J  h  h)3 5OJ QJ ^J h  h2 5OJ QJ ^J h  hm 5OJ QJ ^J $j    h  h_ 5OJ QJ U^J  /j    h  h_ 5OJ QJ U^J mH nH u D
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  r    [            R            I            I                                                                                      	  $If   gd6Z 	  $If   gd)3   kdV  $$If   l             @\  L,8      8   x   
t  0                              +                                                    4   4 
l a yt>  D  F  H  f  p  r  t                             b  d  f  z  ɾɝɾɇyky]O<O $j    h  h} 5OJ QJ U^J  h  h} 5OJ QJ ^J h  hJy 5OJ QJ ^J h  hd 5OJ QJ ^J h  h)3 5OJ QJ ^J *jZ  h  h) 5OJ QJ U^J  *jY  h  h) 5OJ QJ U^J  h"# 5OJ QJ ^J h 5OJ QJ ^J h  h) 5OJ QJ ^J $j    h  h) 5OJ QJ U^J  *jY  h  h) 5OJ QJ U^J      d                x            x                                                                                                                                                                                                     	  $If   gdyD ~  kd[  $$If   l             '0  pL,   #   
t  0                              +                            4   4 
l a yt>  z  |  ~                               
        ׿ױt^F;              hRE hRE CJ aJ  /j    h  h 5OJ QJ U^J mH nH u*j}_  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  h* 5OJ QJ ^J h  hb?` 5OJ QJ ^J /j    h  h} 5OJ QJ U^J mH nH u$j    h  h} 5OJ QJ U^J  *j@\  h  h} 5OJ QJ U^J                                                       k  kd`  $$If   l               L,+    
t  0                              +                    4   4 
l a yt> 	  $If   gdyD k  kd_  $$If   l             N  L, +    
t  0                              +                    4   4 
l a yt>      :  `                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $$If   a$gd7?b                   
      (  *  ,  @  B  D  N  P  R  T  h  ʷrdNr6rrd    /j    h  h 5OJ QJ U^J mH nH u*jb  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hA| 5OJ QJ ^J *ja  h  hqI 5OJ QJ U^J  h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J h  hX\ 5OJ QJ ^J hRE 5OJ QJ ^J h  h) 5OJ QJ ^J      *  R  z  F            5            ,            ,                            	  $If   gdB   d$If   ^d`gd    kda  $$If   l 4            9r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt>  h  j  l  v  x  z  |                                  ׿ױף׿ױףw׿ױiVH                              h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *je  h  h; 5OJ QJ U^J  *jd  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u$j    h  h 5OJ QJ U^J  *jc  h  h; 5OJ QJ U^J z        $  L                          ?            .                             d$If   ^d`gd   kdf  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB        "  $  &  :  <  >  H  J  L  N  b  d  f  p  r  t  v            ɻlVl@l    *j+k  h  h; 5OJ QJ U^J  *ji  h  h; 5OJ QJ U^J  /j    h  h 5OJ QJ U^J mH nH u*jsh  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *jg  h  hqI 5OJ QJ U^J L  t        &                                      ?            .                 d$If   ^d`gd   kdm  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                              $  &  (  <  >  @  J  L  N  кޢs]O9ޢ*jmo  h  h; 5OJ QJ U^J  h  hA| 5OJ QJ ^J *jn  h  hqI 5OJ QJ U^J  h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*jml  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J  &  N  v                                                        ?                                                   kdt  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB  N  P  d  f  h  r  t  v  x                                  ߍwiVH                    h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *jss  h  h; 5OJ QJ U^J  *j5r  h  h; 5OJ QJ U^J  h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*jp  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J           *  ,  F  H  J  L  N  b  d  f  p  r  t  v    ɻɢɔs]Es                                       /j    h  h 5OJ QJ U^J mH nH u*jv  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  hy% 5OJ QJ ^J hW 5OJ QJ ^J h  h  5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *ju  h  hqI 5OJ QJ U^J   L  t                                                                                                                                                                                                                                                                                                                                                                                                                                                     	  $If   gdB   d$If   ^d`gd                                                ׿ױף׿ױףw׿ױiVH                              h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *jy  h  h; 5OJ QJ U^J  *jx  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u$j    h  h 5OJ QJ U^J  *jw  h  h; 5OJ QJ U^J     N  v      H            7            .            .            .               	  $If   gdB   d$If   ^d`gd   kdz  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt>        L  N  P  d  f  h  r  t  v  x                          ɻlVl@l    *jq  h  h; 5OJ QJ U^J  *j7~  h  h; 5OJ QJ U^J  /j    h  h 5OJ QJ U^J mH nH u*j|  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *j{  h  hqI 5OJ QJ U^J                             T  V  X  l  n  p  z  |  ~  кޢs]O9ޢ*j  h  h; 5OJ QJ U^J  h  hA| 5OJ QJ ^J *jǂ  h  hqI 5OJ QJ U^J  h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J        V  ~                ?            .                                         d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB  ~                                                  ߍwiVH                    h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *j  h  h; 5OJ QJ U^J  *jm  h  h; 5OJ QJ U^J  h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j/  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J         \                            ?            .                             d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB        Z  \  ^  r  t  v                                  ɻlVl@l    *jS  h  h; 5OJ QJ U^J  *j1  h  h; 5OJ QJ U^J  /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *jˉ  h  hqI 5OJ QJ U^J           n                                      ?            .                 d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                                l  n  p              кޢs]O9ޢ*j  h  h; 5OJ QJ U^J  h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J  n                                                            ?                                                   kdy  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                                         
          .  ߍwiVH                    h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *jS  h  h; 5OJ QJ U^J  *j)  h  h; 5OJ QJ U^J  h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J .  0  2  z  |  ~                                        ɻlVl@l    *jݚ  h  h; 5OJ QJ U^J  *j  h  h; 5OJ QJ U^J  /j    h  h 5OJ QJ U^J mH nH u*ja  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *j_  h  hqI 5OJ QJ U^J   |                                                                                                                                                                                                                                                                                                                                                                                                                                                       	  $If   gdB   d$If   ^d`gd        
                 <  >  @  \  ^  `  t  v  x        кޢs]O9ޢ*j  h  h; 5OJ QJ U^J  h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J  h  hX\ 5OJ QJ ^J      ^        H            7            .            .            .               	  $If   gdB   d$If   ^d`gd   kd'  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt>                                                     ߍwiVH                    h  h  5OJ QJ ^J $j    h  h  5OJ QJ U^J  h  h;] 5OJ QJ ^J *j'  h  h; 5OJ QJ U^J  *j  h  h; 5OJ QJ U^J  h  hX\ 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j  h  h; 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J        F  n                ?            .                                         d$If   ^d`gd   kd9  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB       "  D  F  H  \  ^  `  j  l  n  p                                    ɻ|l|\|L   j  h  h; 5U j  h  h; 5U j  h  h; 5U h  hX\ 5#j    h  hA 5UmH nH ujդ  h  h; 5U h  hA 5j    h  hA 5U h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  h  5OJ QJ U^J  *j  h  hqI 5OJ QJ U^J         *  R                          ?            .                             d$If   ^d`gd   kd٨  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                  
  (  *  ,  @  B  D  N  P  R  T  h  j  l  v  x  z  |    ʷwo_oOo                        j  h  h; 5U jm  h  h; 5U h  hA 5h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J h  hX\ 5j    h  hA 5U #j    h  hA 5UmH nH u R  z                                              ?            .                 d$If   ^d`gd   kdQ  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                                            *  ,  .  8  ɣl^P@    j  h  h; 5U h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j7  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J jg  h  h; 5U h  hA 5h  hX\ 5#j    h  hA 5UmH nH uj    h  hA 5U jy  h  h; 5U8  :  <  >  R  T  V  `  b  d  f  z  |  ~                                  듀r\N       h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J j  h  h; 5U j  h  h; 5U #j    h  hA 5UmH nH uj  h  h; 5U h  hA 5h  hX\ 5j    h  hA 5U  <  d                                                        ?                                                   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB        >  f                                                                                                                                                                                                                                                                                                                                                                                                                                                 	  $If   gdB   d$If   ^d`gd                      ,  .  0  :  <  >  @  T  V  X  b  d  f  h  |  ~            ܢ䲕}k[kMh  h;] 5OJ QJ ^J j  h  h; 5U #j    h  hw 5UmH nH uj  h  h; 5U h  hw 5j    h  hw 5U j  h  h; 5U h  hX\ 5#j    h  hA 5UmH nH uj  h  h; 5U h  hA 5j    h  hA 5U h  hX\ 5OJ QJ ^J          "  J  H            7            .            .            .               	  $If   gdB   d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt>                                           "  $  8  :  <  F  H  J  L  `  vn^vnNvn       jm  h  h; 5U j  h  h; 5U h  hX\ 5#j    h  hw 5UmH nH uj=  h  h; 5U h  hw 5j    h  hw 5U h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J `  b  d  n  p  r  t  v                                     ɻvh`P`@    j5  h  h; 5U j  h  h; 5U h  hw 5h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J h  hX\ 5#j    h  hw 5UmH nH uj    h  hw 5U j[  h  h; 5UJ  r  t      $              ?            .                                         d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB     "  $  &  :  <  >  H  J  L  N  b  d  f  p  r  t  v  x                룐l^P                               h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J j  h  h; 5U #j    h  hw 5UmH nH uj_  h  h; 5U h  hw 5h  hX\ 5j    h  hw 5U$  L  t  v                              ?            .                             d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                       "  $  &  (  <  >  @  J  L  N  P  d  f  h  r  t  v  x  z    Ƀpb                                               h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J jQ  h  h; 5U j  h  h; 5U j  h  h; 5U h  hw 5h  hX\ 5#j    h  hw 5UmH nH uj    h  hw 5U j  h  h; 5U  &  N  v  x                                        ?            .                 d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB                                            "   $   8   :   <   ɻ|l|_WG_                            j  h  h; 5U h  h; 5j    h  h; 5U j  h  h; 5U h  hX\ 5#j    h  hw 5UmH nH ujG  h  h; 5U h  hw 5j    h  hw 5U h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  *ji  h  hqI 5OJ QJ U^J     "   J   r   t                                                   ?                                                   kdy  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB  <   F   H   J   L   `   b   d   n   p   r   t   v                                          !  ز{m_O                        jE  h  h; 5U h  hX\ 5OJ QJ ^J h  hA| 5OJ QJ ^J *j_  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J j;  h  h; 5U h  h; 5h  hX\ 5j    h  h; 5U #j    h  h; 5UmH nH u t         "!  J!  r!                                                                                                                                                                                                                                                                                                                                                                                                                                               	  $If   gdB   d$If   ^d`gd  !  !  !  !   !  "!  $!  8!  :!  <!  F!  H!  J!  L!  `!  b!  d!  n!  p!  r!  t!  v!  !  !  !  !  ɓr\N                           h  hA| 5OJ QJ ^J *j  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  h;] 5OJ QJ ^J j  h  h; 5U j  h  h; 5U h  h; 5h  hX\ 5#j    h  h; 5UmH nH uj    h  h; 5U j  h  h; 5Ur!  t!  !  !  "  8"  H            7            7            .            .               	  $If   gdB   d$If   ^d`gd   kd  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt>  !  !  !  !  !  !  !  !  !  !  !   "  "  "  "  "  "  &"  ("  *"  4"  6"  8"  :"  N"  кޢޔo]UE]U              jU  h  h; 5U h  hX\ 5#j    h  h; 5UmH nH uj  h  h; 5U h  h; 5j    h  h; 5U h  hg 5OJ QJ ^J /j    h  hqI 5OJ QJ U^J mH nH u*j=  h  hqI 5OJ QJ U^J  h  hqI 5OJ QJ ^J $j    h  hqI 5OJ QJ U^J  h  hX\ 5OJ QJ ^J  N"  P"  R"  \"  ^"  `"  b"  v"  x"  z"  "  "  "  "  "  "  "  \#  ^#  z#  |#  ~#  #  ɣ|laKl=        h  hB 5OJ QJ ^J *j  hm hM 5OJ QJ U^J  hm 5OJ QJ ^J j    hm 5OJ QJ U^J  h  hfb 5OJ QJ ^J h  h 5OJ QJ ^J hRE hRE CJ aJ  h  h;] 5OJ QJ ^J jC  h  h; 5U h  h; 5h  hX\ 5#j    h  h; 5UmH nH uj    h  h; 5U jK  h  h; 5U8"  `"  "  "  "  "                          ?            =            4                           	  $If   gd5R      kd7  $$If   l             r  x#`'L,                                T                                                
t  0                              +                                                                4   4 
l a yt> 	  $If   gdB  "  "  Z#                                                                                                                                                                                                                                                                          	  $If   gd5R k  kd  $$If   l             P  L,+     
t  0                              +                   4   4 
l a yt>  Z#  \#  6$              s                                                                                                                                                                                                               x $If   `gdB K$ z  kd  $$If   l             P  L,+        	 
t  
      0                              +                4   4 
l a p
      yt>  #  #  2$  6$  8$  :$  N$  P$  R$  \$  ^$  b$  f$  h$  $  $  $  $  $  $  ˕ۇt^tK=                       h  hRE 5OJ QJ ^J $j    h  hRE 5OJ QJ U^J  *j  h  hB 5OJ QJ U^J  $j    h  hB 5OJ QJ U^J  h  h(W 5OJ QJ ^J )j    hm 5OJ QJ U^J mH nH u*j  hm hM 5OJ QJ U^J  hm 5OJ QJ ^J j    hm 5OJ QJ U^J  h  hB 5OJ QJ ^J h_8 5OJ QJ ^J hB 5OJ QJ ^J  6$  8$  `$              |                                                                                                                                                                                                                                 x $If   gdB K$ u  kd6  $If   K$L$l             _   0*0*
t  6`m 0                                     4   4 
l a  e4yt  `$  b$  d$              ~                                                                                                                                                                                                                                    x $If   gdB  u  kd  $If   K$L$l             _   0*0*  
t  6`m 0                                        4   4 
l a  e4yt  d$  f$  $  $                                                k  kd  $$If   l             c  L,+    
t  0                              +          4   4 
l a yt> 	  $If   gdB k  kd4  $$If   l             !  L,+      
t  0                              +             4   4 
l a yt>  $  $   %  @%  B%  D%  F%  b%  d%  f%  %  %  %  %  %  %  %   &  &  &  &  ɾɨɾɕscXBc4h  h) 5OJ QJ ^J *j  h_8 hM 5OJ QJ U^J  h_8 5OJ QJ ^J j    h_8 5OJ QJ U^J  h  h 5OJ QJ ^J '*h  h 5B*OJ QJ ^J ph    $h  h 5B*OJ QJ ^J ph     *jY  h  hRE 5OJ QJ U^J  hRE 5OJ QJ ^J h  hRE 5OJ QJ ^J $j    h  hRE 5OJ QJ U^J  *j  h  hRE 5OJ QJ U^J $  B%  D%  %                                                                                                                                                                                                                                                                     k  kd  $$If   l             c  L,+    
t  0                              +          4   4 
l a yt> 	  $If   gdB  %  %  %                                                                                                                                                                                                                                                                          	  $If   gd k  kd  $$If   l             D  L,+      
t  0                              +             4   4 
l a yt>  %  %  f&  h&  &              {            o            d                                                                                                                                             
  $If   gd K$  dh $If   gd 	  $If   gd  z  kdR  $$If   l             P  L,+     	 
t  
      0                              +                   4   4 
l a p
      yt>  &  $&  d&  f&  h&  j&  ~&  &  &  &  &  &  &  &  &  &  &  '  ɹq^P:^P                           *j  h  h) 5OJ QJ U^J  h  h) 5OJ QJ ^J $j    h  h) 5OJ QJ U^J  #h h 5CJ OJ QJ ^J aJ )j    h 5OJ QJ U^J mH nH u*j  h~[ h 5OJ QJ U^J  h 5OJ QJ ^J j    h 5OJ QJ U^J  h  h 5OJ QJ ^J #h h) 5CJ OJ QJ ^J aJ h_8 5OJ QJ ^J h~[ 5OJ QJ ^J  &  &  &  '  '                                                                                                                                                                                                                                          	  $If   gd  u  kd  $If   K$L$l             f   (( 
t  6` 0                                         4   4 
l a  e4yt>  '  '   '  "'  $'  R'  T'  b'  '  '  '  '  '  '  '  '  '  '  '  (  (  (  "(  qcMqc?qc            h  h 5OJ QJ ^J *j  h  hT 5OJ QJ U^J  h  hT 5OJ QJ ^J $j    h  hT 5OJ QJ U^J  $h  h 5B*OJ QJ ^J ph     h  h 5OJ QJ ^J h  h(W 5OJ QJ ^J h  h) 5OJ QJ ^J h  h) 5OJ QJ ^J *j  h_8 hM 5OJ QJ U^J  h_8 5OJ QJ ^J j    h_8 5OJ QJ U^J '  '  '                                                                                                                                                                                                                                                                    	  $If   gd n  kd  $$If   l 4            A  L, +    
t  0                              +                    4   4 
l a f4yt>  '  '  (  n(              {            {                                                                                                                                                                                                           	  $If   gd  z  kd  $$If   l             P  L,+    	 
t  
      0                              +                    4   4 
l a p
      yt>  "(  $(  &(  l(  n(  p(  (  (  (  (  (  (  (  )  )  )  )   )  ɻɄqcMq5q                 /j    h  hH67 5OJ QJ U^J mH nH u*j  h  hH67 5OJ QJ U^J  h  hH67 5OJ QJ ^J $j    h  hH67 5OJ QJ U^J  *j  h  hT 5OJ QJ U^J  $h  h6Z 5B*OJ QJ ^J ph     h  h 5OJ QJ ^J h  h} 5OJ QJ ^J h  hT 5OJ QJ ^J $j    h  hT 5OJ QJ U^J  *j  h  hT 5OJ QJ U^J n(  p(  (                                                                                                                                                                                                                                                                    	  $If   gd6Z n  kd&  $$If   l 4              L,+    
t  0                              +                    4   4 
l a f4yt>  (  (  ")              {                                                                                                                                                                                                                            	  $If   gdH67  z  kd  $$If   l             P  L,+    	 
t  
      0                              +                    4   4 
l a p
      yt>   )  ")  $)  D)  F)  )  )  )  )  )  )  )  )  )  )  )  )  )  *   *  &*  ˽xmWmI;              h  h 5OJ QJ ^J h  hfb 5OJ QJ ^J *j  h  hH67 5OJ QJ U^J  hH67 5OJ QJ ^J *j'  h  hH67 5OJ QJ U^J  h  hH67 5OJ QJ ^J $j    h  hH67 5OJ QJ U^J  h  hT 5OJ QJ ^J h  h1Do 5OJ QJ ^J $h  h1Do 5B*OJ QJ ^J ph     $h  h6Z 5B*OJ QJ ^J ph     h  h6Z 5OJ QJ ^J  ")  $)  D)                                                                                                                                                                                                                                                            	  $If   gd\]  q  kd)  $$If   l             R  L,+    
t  0                              +                    4   4 
l a p
        yt>  D)  F)   *              {                                                                                                                                                                                                                            	  $If   gd  z  kd  $$If   l             P  L,+    	 
t  
      0                              +                    4   4 
l a p
      yt>   *  "*  +  +                                       k  kd|  $$If   l             c  L,+   
t  0                              +                4   4 
l a yt>   $If   ]gd k  kd  $$If   l             )  L,+    
t  0                              +                    4   4 
l a yt>  &*  +  +  +  +  +  +  2+  4+  6+  @+  B+  J+  L+  `+  b+  d+  n+  p+  ,  ,  t,  ǹxbxTF                               h  h6Z 5OJ QJ ^J h  h1Do 5OJ QJ ^J *j  h  hbC 5OJ QJ U^J  /j    h  hbC 5OJ QJ U^J mH nH u*j  h  hbC 5OJ QJ U^J  $j    h  hbC 5OJ QJ U^J  h  hbC 5OJ QJ ^J h  h 5OJ QJ ^J h  h: 5OJ QJ ^J h  hfb 5OJ QJ ^J h h 5OJ QJ ^J  +  +  +  D+  F+  H+  J+  r+                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
  $If   gdbC K$ r+  t+                                    kd  $If   K$L$l 4            M֞   =)d"P#*    ;   
t  6P  0                              *                     4   4 
l a  e4f4yt>  t+  +  +  +  +  +  +  +  ,                                                                                                                                                                                                                                                                                                                                                                                                                                  $$If   a$gdbC    $$If   a$gdbC K$ ,  ,                                    kd  $If   K$L$l 4            C֞   =)d"P#*    ;   
t  6P  0                              *                     4   4 
l a  e4f4yt>  ,  ,  ,  t,  ,                                                                                                                                                                                                                                              	  $If   gd6Z k  kd $$If   l               L, +   
t  0                              +                4   4 
l a yt> 	  $If   gdbC  t,  v,  ,  ,  ,  ,  ,  ,  ,  ,  ,   .     x  z    <  >  T  :  
      ~n[N9[n(hf h9 >*B*OJ QJ RH[ ^J ph     hf h9 OJ QJ ^J  %hf h9 B*OJ QJ RH[ ^J ph    h> B*OJ QJ RHZ ^J ph    U%hf h9 B*OJ QJ RHZ ^J ph    h  hfb 5hf  hce  h  h6Z 5OJ QJ ^J /j    h  h 5OJ QJ U^J mH nH u*j h  h| 5OJ QJ U^J  h  h 5OJ QJ ^J $j    h  h 5OJ QJ U^J ,  ,  ,  ,  >      N    h                                       a            a            a            a            a            a            a            a                  +   $-D If   M
      ]^+ gdce    ~  kd $$If   l             @0  L,      
t  0                              +                            4   4 
l a yt>    e n g a g e   i n ,   o r   r e t u r n   t o   e m p l o y m e n t   c o n s i s t e n t   w i t h   t h e   i n d i  v i d u a l ' s   s t r e n g t h s ,   r e s o u r c e s ,   p r i o r i t i e s ,   c o n c e r n s ,   a b i l i t i e s ,   c a p a b i l i t i e s   a n d   i n f o r m e d   c h o i c e .  E L I G I B I L I T Y   f o r   V o c a t i o n a l   R e h a b i l i t a t i o n   s e r v i c e s   i s   b a s e d   o n l y   o n   t h e   f o l l o w i n g   r e q u i r e m e n t s :   T h e   i n d i v i d u a l   h a s   a   p h y s i c a l   o r   m e n t a l   d i s a b i l i t y   w h i c h   c o n s t i t u t e s   o r   r e s u l t s   i n   a   s u b s t a n t i a l   i m p e d i m e n t   t o   e m p l o y m e n t   a n d   t h e   i n d i  v i d u a l   c a n   b e n e f i t   f r o m   t h e   p r o v i s i o n   o f   V o c a t i o n a l   R e h a b i l i t a t i o n   s e r v i c e s .   A l l   a p p l i c a n t s   m u s t   m e e t   v i s u a l   e l i g i b i l i t y   r e q u i r e  m e n t s   e s t a b l i s h e d   b y   R e h a b i l i t a t i o n   S e r v i c e s   f o r   t h e   B l i n d .  C L I E N T   R I G H T S   i n c l u d e   t h e   r i g h t   t o   h a v e   y o u r   I P E   r e v i e w e d   a t   l e a s t   a n n u a l l y .   Y o u   h a v e   t h e   r i g h t   t o   f u l l y   p a r t i c i  p a t e   i n   a l l   a m e n d m e n t s   t o   y o u r   I P E .   Y o u   h a v e   t h e   r i g h t   t o   a p p e a l   a n y   a g e n c y   d e c i s i o n   r e g a r d i n g   y o u r   e l i g i b i l i t y   o r   i n e l i g i b i l i t y   f o r   s e r v i c e s   o r   a n y   d e c i s i o n   m a d e   b y   t h e   a g e n c y   o n   y o u r   b e h a l f .     Y o u   h a v e   t h e   r i g h t   t o   r e c e i v e   a l l   s e r v i c e s   a n d   t h e   e n t i t y   o r   e n t i t i e s   t h a t   w i l l   p r o v i d e   t h e   s e r v i c e s   n e e d e d   t o   a c h i e v e   t h e   e m p l o y m e n t   o u t c o m e   i n   t h e   m o s t   i n t e g r a t e d   s e t t i n g   p o s s i b l e ,   c o n s i s t e n t   w i t h   y o u r   i n d i v i d u a l   n e e d s   a n d   i n f o r m e d   c h o i c e .     Y o u   a l s o   h a v e   t h e   r i g h t   t o   r e c e i v e   n o t i c e   o f   P r i v a c y   P r a c t i c e s   R e g a r d i n g   y o u r   P r o t e c t e d   H e a l t h   I n f o r m a t i o n   c o n s i s t e n t   w i t h   H I P A A .  C L I E N T   R E S P O N S I B I L I T I E S   i n c l u d e   t h e   r e s p o n s i b i l i t y   t o   p a r t i c i p a t e   i n   t h e   d e v e l o p m e n t   a n d   m a k e   e f f o r t s   i n   c a r r y  i n g   o u t   y o u r   I P E   a n d   t o   c o m p l y   w i t h   a l l   t h e   t e r m s   a n d   c o n d i t i o n s   a s   a g r e e d   t o   i n   y o u r   I P E     t h i s   i n c l u d e s ,   b u t   n o t   l i m i t e d   t o ,   g i v e   p r o g r e s s   r e p o r t s ,   r e t u r n i n g   p h o n e   c a l l s ,   k e e p i n g   a p p o i n t m e n t s ,   a n d   p a r t i c i p a t i n g   i n   s c h e d u l e d   a c t i v i t i e s .       I f   m y   n a m e ,   a d d r e s s   o r   t e l e p h o n e   n u m b e r   c h a n g e s ,   I   w i l l   l e t   m y   c o u n s e l o r   k n o w .   I   w i l l   a l s o   l e t   m y   c o u n s e l o r   k n o w   w h e n   I   g e t   a   j o b ,   o r   h a v e   o b t a i n e d   m y   r e h a b i l i t a t i o n   g o a l .   F i n a l l y ,   I   w i l l   a p p l y   f o r   c o m p a r a b l e   b e n e f i t s   a n d   l e t   m y   c o u n s e l o r   k n o w   i f   I   a m   g e t t i n g   o r   I   a m   a b o u t   t o   g e t   s u c h   b e n e f i t s   ( m e d i c a l   s e r v i c e s ,   g r a n t s ,   e q u i p m e n t ,   t u i t i o n ,   e t c . )     I   u n d e r s t a n d   t h a t   i f   I   f a i l   t o   c o m p l y   w i t h   t h e s e   r e s p o n s i b i l i t i e s ,   I   m a y   b e   d e t e r m i n e d   t o   b e   i n e l i g i b l e   f o r   f u r t h e r   s e r v i c e s .        A P P E A L   P R O C E D U R E S   a r e   a s s u r e d   f o r   a n y   a p p l i c a n t   o r   e l i g i b l e   i n d i v i d u a l   w h o   i s   d i s s a t i s f i e d   w i t h   a n y   d e t e r m i n a  t i o n   m a d e   b y   a g e n c y   r e p r e s e n t a t i v e s .   A n   a p p l i c a n t   o r   e l i g i b l e   i n d i v i d u a l   m a y   r e q u e s t   a n   A d m i n i s t r a t i v e   R e v i e w .   Y o u   a r e ,   h o w e v e r ,   e n t i t l e d   t o   y o u r   o p t i o n   o f   M e d i a t i o n   o r   t o   a   F a i r   H e a r i n g   b y   a n   i m p a r t i a l   h e a r i n g   o f f i c e r   i n   l i e u   o f   a n   A d m i n i s t r a t i v e   R e v i e w .   A   w r i t t e n   r e q u e s t   t o   t h e   D e p u t y   D i r e c t o r ,   F S D / R e h a b i l i t a t i o n   S e r v i c e s   f o r   t h e   B l i n d ,   P O   B o x   2 3 2 0 ,   J e f f e r s o n   C i t y ,   M i s s o u r i   6 5 1 0 2 - 2 3 2 0   i s   r e q u i r e d   f o r   t h e   R e v i e w ,   M e d i a t i o n   o r   F a i r   H e a r i n g .  C L I E N T   A S S I S T A N C E   P R O G R A M   ( C A P )   s e r v i c e s   a r e   a v a i l a b l e   t o   V o c a t i o n a l   R e h a b i l i t a t i o n   c l i e n t s   o f   R e h a b i l i t a t i o n   S e r v i c e s   f o r   t h e   B l i n d .   T h i s   r e s o u r c e   i s   t o   h e l p   y o u   w i t h   a n y   p r o b l e m s   y o u   m a y   h a v e   w i t h   s e r v i c e s   p r o v i d e d   b y   t h e   a g e n c y .   Y o u   m a y   c o n t a c t   M i s s o u r i   P r o t e c t i o n   a n d   A d v o c a c y   S e r v i c e s   a t   9 2 5   S o u t h   C o u n t r y   C l u b   D r i v e ,   B - 1 ,   J e f f e r s o n   C i t y ,   M O   6 5 1 0 9 .  O P T I O N S   F O R   C O M P L E T I O N   O F   T H E   I P E :  T h e   i n d i v i d u a l   m a y   d e v e l o p   t h e   I P E :   o n   h i s / h e r   o w n ;   w i t h   t h e   a s s i s t a n c e   o f   a   q u a l i f i e d   V R   c o u n s e l o r ;   o r   w i t h   t h e   a s s i s t a n c e   o f   a n y o n e   e l s e   w h o   i s   w i l l i n g   t o   h e l p .      O n c e   a n   i n d i v i d u a l   i s   d e t e r m i n e d   e l i g i b l e   t o   r e c e i v e   V R   s e r v i c e s ,   h e   o r   s h e   m u s t   d e v e l o p   a n   I P E .   T h e   i n d i v i d u a l   m u s t   b e   g i v e n   t h e   o p p o r t u n i t y   t o   m a k e   a n   i n f o r m e d   c h o i c e   i n   s e l e c t i n g ,   a m o n g   o t h e r   t h i n g s ,   a n   e m p l o y m e n t   o u t c o m e ,   n e e d e d   V R   s e r v i c e s ,   a n d   p r o v i d e r s   o f   t h o s e   V R   s e r v i c e s .  T h e   V R   a g e n c y   m u s t   p r o v i d e   t h e   i n d i v i d u a l   w i t h   i n f o r m a t i o n   i n   w r i t i n g ,   a s   w e l l   a s   i n   a n   a p p r o p r i a t e   m o d e   o f   c o m m u n i c a t i o n ,   e x p l a i n i n g   t h e   a s s i s t a n c e   a v a i l a b l e   t o   t h e   i n d i v i d u a l   w h e n   d e v e l o p i n g   t h e   I P E   a s   w e l l   a s   t h e   f u l l   r a n g e   o f   c o m p o n e n t s   t h a t   m u s t   b e   i n c l u d e d   i n   t h e   I P E .  Y o u   m a y   c o n t a c t   y o u r   c o u n s e l o r ,   l o c a l   d i s t r i c t   o f f i c e ,   u s e   R S B ' s   8 0 0   n u m b e r   ( 8 0 0 - 5 9 2 - 6 0 0 4 )   o r   t h e   R S B   w e b s i t e   a t   w w w : d s s . m o . g o v / f s d / r s b .  B o t h   t h e   i n d i v i d u a l   a n d   t h e   V R   c o u n s e l o r   m u s t   s i g n   t h e   I P E .  E m p l o y m e n t   o u t c o m e s   a r e   b a s e d   o n   t h e   f e d e r a l   s t a n d a r d s   f o r   t h e   d e t e r m i n a t i o n   o f   s u c c e s s f u l .   S p e c i f i c   d e t a i l s   f o r   t h e   c l i e n t   p l a n   a r e   i n   t h e   R e c o r d   o f   S e r v i c e .   P E R I O D I C   O R   A N N U A L   R E V I E W ( S )   W A S / W E R E   C O N D U C T E D   O N      F O R M T E X T                F O R M T E X T             A D D I T I O N A L   C O M M E N T S      F O R M T E X T                F O R M T E X T             R S B   T O L L - F R E E   N U M B E R :   8 0 0 - 5 9 2 - 6 0 0 4  C A P   T O L L - F R E E   N U M B E R :   8 0 0 - 3 9 2 - 8 6 6 7                M O   8 8 6 - 3 5 1 5  R - 1 0 - L  P a g e      P A G E    1    o f      N U M P A G E S    3   I P E   1 0 - 2 0 0 6                                                                                                                                                                                                                                                                                                                                                                                                           f  h            L  N  p  (  *        f h       * , P	 R	 
 
    ϺܪϺܪϺܪϺϕ܂oa          h(!\ h9 5OJ QJ ^J %hZ7 hf B*OJ QJ RHZ ^J ph    %hf h6Z B*OJ QJ RHZ ^J ph    (hf h9 >*B*OJ QJ RHc ^J ph     h> B*OJ QJ RHZ ^J ph    (hf h9 >*B*OJ QJ RHZ ^J ph     hf h9 OJ QJ ^J  %hf h9 B*OJ QJ RHZ ^J ph    hce B*OJ QJ RHZ ^J ph     $ , R	 d
 
                                                                _            N                                               + $If   ]^+ gdZ7  l  kd $$If   l             l/  L,+        
t  0                                6                4   4 
l a yt>   +   $If   ]^+ gdce    +   $-D If   M
      ]^+ gdce                ֟֌~gT:g                                               3j h_E; hZ7 5B*OJ QJ U^J ph    $h_E; hZ7 5B*OJ QJ ^J ph     -j    h_E; hZ7 5B*OJ QJ U^J ph    h(!\ hf 5OJ QJ ^J %hf hf B*OJ QJ RHZ ^J ph    8j    h_E; hf 5B*OJ QJ U^J mH nH ph    u 3j3 h_E; hf 5B*OJ QJ U^J ph    -j    h_E; hf 5B*OJ QJ U^J ph    $h_E; hf 5B*OJ QJ ^J ph                   }                                                                                                                                                                                                                                  + < < $If   ]^+ gdQ<B  l  kdw $$If   l             :  L,+        
t  0                                6                4   4 
l a yt>             " $ & ( * > @ B L N P R     ̹̘~̹̘d̘VBB   'h_E; hZ7 5B*OJ QJ \^J ph    h(!\ hZ7 5OJ QJ ^J 3j	 h_E; hZ7 5B*OJ QJ U^J ph    3j h_E; hZ7 5B*OJ QJ U^J ph    $h_E; hZ7 5B*OJ QJ ^J ph     h(!\ hf 5OJ QJ ^J $h_E; hf 5B*OJ QJ ^J ph     -j    h_E; hZ7 5B*OJ QJ U^J ph    8j    h_E; hZ7 5B*OJ QJ U^J mH nH ph    u  &             }                                                                                                                                                                                                                                  + < < $If   ]^+ gdQ<B  l  kd) $$If   l               L,+        
t  0                                6                4   4 
l a yt>  & ( P             }                                                                                                                                                                                                                                  + < < $If   ]^+ gdQ<B  l  kdy	 $$If   l                L,+        
t  0                                6                4   4 
l a yt>  P R               ~            ~                                                                                                                                                                                                                   $+ $If   ]^+ a$gdZ7  l  kd
 $$If   l                L,+        
t  0                                6                4   4 
l a yt>                          z            u            s            u            s            u            s            u            s            j                                 	 $If   gdN      gd8    gdce    kd7 $$If   l             L0  L,\        <        
t  0                                6                            4   4 
l a yt>               * , 8 : < > F H \ ^ ` b d ~    ǶǨǶǨԕ                                                                                                                                                          h"#  h@A OJ QJ ^J mH nH uj    hN OJ QJ U^J !j    h_ hN OJ QJ U^J h_ hN OJ QJ ^J  hN OJ QJ ^J  h\`  j    h\` Uh  h  h(!\ hZ7 5OJ QJ ^J     d | ~                                         ^            Y            W            W            R                                       gdce       gd_  |  kd $$If   l \   L+ &                 &                 L                 L                
t    6                                                    4   4 
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J re֞4${oݲ.j)J%B<)β*$68$wh85)͵8~N/vw}t  =>> =z}a}o {È g}OA#o}\'~K$ksoМJe.So/:]>O2-YniѯxTN8i,\t J2e.~_UkwSU--;4J?Mrn5Pha7R5Zr"	C_߷꩑d"ϡ/-*+<ps<v1wgх%nk4:~UTU#ψvr	fAK!]8FqҰ޵"i6ŷS,UPs9>n\CEao[Y#rY	Ap2:nۻq}6mkG{aVXI'=eʛg~˪,թq[H,I~Ptټ9jSc) <\
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R|=NL;M  5L2_4;M  5QFe[Ә%
r%(q鮭~(!|tFTiI!fQ[]@QXwF0ωv_ݺZ;ukjfWCX,4Ȅn6Ҵ]UMX}5/Ug>䥮]^?q'["ƆYvɢS eJ$KY*[U}J<:ꔢO<#W uT$t=b$O%u%DpHUZvq֫Ju>ǖ"W$--Ɓ255qjůM_}rFiS.>]P#?tU'`OP{_KZcr.8$%^|BRD!FM;Q!x6B?@4_eLB<6j)* :
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Ss.^Tި#Jzm6_R^vB?yGj;FzҭîoH!;Ԕ4%j\g@q)P# ]NF ăQj'8br!#Q(Ttd}u>sN~xչ@J@ |0=j2u90m;OW7J>\MөL%	=Ih'ʊAdduxFX^NntĶnUqKGyOVGut duHVYW>U_7nҼ^Ҥ}^A]VJ"X2ݻ&Uv(Kۉ=0p	
h2Aբf>+.~^ZBO.߶vzXfWmNhd`⤢%BҾ|a%~d= YvCK- r>DQ\bM6ǯDS`+
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BorʉJ];nivƚӳ˅SА+P8%I&pPE.n
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X;+-v2'ٴBЦ=yNXV9^<6Y^N0l䛖fnGAc/ %匷~Ӈ$Qg\48CZyOHaj(nA=)%is8$c}HAp۴K*qتQZ
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<t[s9ܕO)ic¶Jf-sԴ2%[v0.68QI* 3\>LiV+]2sOfL|#Ad~m\#4~!8:CR~KTUP!sQ<a%ҰRR=5 #Z}*جmR~ґ2Tkj}n@[$%E6槴8W\I 8H]zq]e=OE]kypJBPyg[4%dw7+V^A?VLb2+e,6J\խڲO}n=͂S/	bT'Ȝ XttTzz9s;X{kolִ!	[qW+~Cu՞TV"!FrZT
D`";sLFyĖ)huquxop&=aBN.FGBpuY 9wRxm^ңvͅ!UjR:P|w@HT8x SVkضUV1 yQ9$Ϯ҉Umci,w˲Ԥ*#h+ǮvFW3/A];PFzG}t4^Tf&FzWSOJpaI#q[_m	^TTwjnOuymdtAݺETC^mXpN@$y K@;,F"DTӣ6U+p)TYW5eoTS[HfV*$yTI^ թ?U_B-<d:VO
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?_]G4{@h4+6֕Fͺ	40iqF-qOMvpZxm<	0y:'_RJbX"n{AyqW$8F<Dk;Eo۹4B 9*Ic)8BscX͸1Uf~Y=PXkvgU"*	j
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G9tw^׵Tvlec!MS Ldx36ml.׵'uڀd;5kQ*\{(I_
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kŅO9&S0	
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vi
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uCۭ]靸mvʸ XK 7ecթo}MsAثR鲩"TĖHZۃ
J`mhmKy<%IA:e
	A'YpK]Τ/n6&+idtٛRW%gEL)_-RJ7S0#s+i(=jCSAmeuid~g:+>乴ݮnZ)-K	ʐ]jGȸ88nMihVUGq隱(UWP<瑞"-8u}uaתiFQ|"* RՕ(GH$K֠B dU	2˩RQdjmNܻeo@^l)b/P {8rXFq۲רPX6҄)veҠs
X'"uK@\{mڃm!_)K灄5iL-i0H¥ｍ5;oIR'I%q΁eB+ {1mȫKFWfyvW|Zef[34%#) A@h4@h%+IB)PzxiiVܒO=]E2<~U+ĭ`Lb%kiRL]],:S$NqDjk5~Ieu/~$8x)İ%^ξ)$tN	jLku)t&I\9T7(l9Ā9)=y<np7fj5͡JЖ)M!)_e
o_ @$ꔦ*wme߶e6JS)ĀKNmkm?Ӗ# 
~7]iRi8Cm{իRr[h!ŃCY+"{؞puLH=XGƩja.6.\^ 6HNUR}l:li|bR#O/2S?thvTű\6e߼:C0hWݮ}ʪ7m`DV>xO:ހ@h4@hөS)՘nj؝O}=/D^ic,(xNRj\;#sUw*S4Cӎ<A6+|wGۖ?RQvm )Tuz2ͭ ;۞O.?5Hq[f޷U'=2JVV]AultyeTK~W0GH4+svmn]wM16UO|){_CДP<"c>BG$@,Ouh=lE^mXtת[ _< $|GJF<A@h4@h4@hj[7TsSpS٨FjRp~Aԫc՟+t9N~Im sjHz;_gOۍto\}[+q9{;Gd/Rٳ)	?ϻv#zWp
T*qjV4τ5T޻AWқiӁ$υT*RU$;7
jxg|dtçEb6 g;iiH@H4@h4ّ $$If    !v h5 85`'#v 8#v`':V l 
t  +  , ,5 85`'/ /       a yt>    D                                                                    T e x t 1 0 3            C o n s u m e r   n a m e    C o n s u m e r   n a m e              D                                                                    T e x t 1 0 2            C a s e   n u m b e r    C a s e   n u m b e r           $$If    !v h5 85585x#v 8#v#v8#vx:V l @
t  +  , 5 85585x/       / /      //      //      /a yt>    D                                                                   C h e c k 2 6          O r i g i n a l   I   P   E    O r i g i n a l   I   P   E              D                                                                   C h e c k 2 7          I   P   E   A m e n d m e n t    I   P   E   A m e n d m e n t              D                                                                   C h e c k 2 8          P o s t   E m p l o y m e n t   I   P   E    P o s t   E m p l o y m e n t   I   P   E              D                                                                   C h e c k 2 9          S u p p o r t e d   E m p l o y m e n t   I   P   E    S u p p o r t e d   E m p l o y m e n t   I   P   E              D                                                                   C h e c k 3 0          E x t e n d e d   E v a l u a t i o n   I   P   E    E x t e n d e d   E v a l u a t i o n   I   P   E            $$If    !v h5 5##v #v#:V l '
t  +  , 5 5#/       / /      /a yt>   D                                                                    T e x t 2            L i s t   t h e   s p e c i f i c   e m p l o y m e n t   o u t c o m e   s e l e c t e d   b y   t h e   i n d i v i d u a l   c o n s i s t e n t   w i t h   t h e i r   a b i l i t i e s ,   c a p a b i l i t i e s ,   s t r e n g t h s ,   i n t e r e s t s ,   p r i o r i t i e s ,   c o n c e r n s ,   a n d   r e s o u r c e s .    L i s t   s p e c i f i c   e m p l o y m e n t   o u t c o m e   s e l e c t e d   b y   c l i e n t   c o n s i s t e n t   w i t h   a b i l i t i e s   c a p a b i l i t i e s   s t r e n g t h   i n t e r e s t   p r i o r i t i e s   c o n c e r n   &   r e s o u r c e           a $$If    !v h5 +#v +:V l N
t  +  5 +/       a yt>   D                                                                    T e x t 9           * E x p e c t e d   e m p l o y m e n t   ( p l a n   c o m p l e t i o n )   d a t e   + E x p e c t e d   e m p l o y m e n t   ( p l a n   c o m p l e t i o n )   d a t e :           g $$If    !v h5 +#v +:V l 
t  +  , 5 +/       a yt>  $$If    !v h5 55T55#v #v#vT#v#v:V l 49
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1          1   A s s e s s m e n t    1   A s s e s s m e n t             D                                                                    T e x t 1 9           ) D e s c r i b e   a s s e s s m e n t   s e r v i c e s   a n d   p r o v i d e r   ) D e s c r i b e   a s s e s s m e n t   s e r v i c e s   a n d   p r o v i d e r              D                                                                    T e x t 2 0            F u n d i n g   s o u r c e   f o r   a s s e s s m e n t .    F u n d i n g   s o u r c e   f o r   a s s e s s m e n t .             D                                                                    T e x t 2 1           ' B e g i n n i n g   d a t e   f o r   a s s e s s m e n t   s e r v i c e s .   ' B e g i n n i n g   d a t e   f o r   a s s e s s m e n t   s e r v i c e s .           
  D                                                                    T e x t 1 2           % R e v i e w   m e t h o d   f o r   a s s e s s m e n t   s e r v i c e s   % R e v i e w   m e t h o d   f o r   a s s e s s m e n t   s e r v i c e s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 2          2   C o u n s e l i n g   a n d   G u i d a n c e    2   C o u n s e l i n g   a n d   G u i d a n c e           v  D                                                                    T e x t 2 7           @ D e s c r i b e   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r .   @ D e s c r i b e   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r .           B  D                                                                    T e x t 2 8           3 F u n d i n g   s o u r c e   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s   3 F u n d i n g   s o u r c e   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s           B  D                                                                    T e x t 2 9           3 B e g i n n i n g   d a t e   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s   3 b e g i n n i n g   d a t e   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s           2  D                                                                               2 R e v i e w   m e t h o d   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s   2 R e v i e w   m e t h o d   f o r   c o u n s e l i n g   a n d   g u i d a n c e   s e r v i c e s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 3          3   P h y s i c a l / M e n t a l   R e s t o r a t i o n    3   P h y s i c a l / M e n t a l   R e s t o r a t i o n             D                                                                    T e x t 3 0           B D e s c r i b e   p h y s i c a l / m e n t a l   r e s t o r a t i o n   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r   H D e s c r i b e   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r .           >  D                                                                    T e x t 3 1           2 F u n d i n g   s o u r c e   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n   2 F u n d i n g   s o u r c e   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n           >  D                                                                    T e x t 3 2           2 B e g i n n i n g   d a t e   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n   2 B e g i n n i n g   d a t e   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n           :  D                                                                    T e x t 3 3           1 R e v i e w   m e t h o d   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n   1 R e v i e w   m e t h o d   f o r   p h y s i c a l   a n d   m e n t a l   r e s t o r a t i o n            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>   D                                                                   C h e c k 4         $ 4   V o c a t i o n a l   T r a i n i n g ,   O J T ,   C o a c h i n g   $ 4   V o c a t i o n a l   T r a i n i n g ,   O J T ,   C o a c h i n g           >  D                                                                    T e x t 3 4           2 D e s c r i b e   v o c a t i o n a l   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r   2 D e s c r i b e   v o c a t i o n a l   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r             D                                                                    T e x t 3 5           & F u n d i n g   s o u r c e   f o r   v o c a t i o n a l   t r a i n i n g   & F u n d i n g   s o u r c e   f o r   v o c a t i o n a l   t r a i n i n g             D                                                                    T e x t 3 6           & B e g i n n i n g   d a t e   f o r   v o c a t i o n a l   t r a i n i n g   & B e g i n n i n g   d a t e   f o r   v o c a t i o n a l   t r a i n i n g           
  D                                                                    T e x t 3 7           % R e v i e w   m e t h o d   f o r   v o c a t i o n a l   t r a i n i n g   % R e v i e w   m e t h o d   f o r   v o c a t i o n a l   t r a i n i n g            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 5          5   C o l l e g e / U n i v e r s i t y   T r a i n i n g    5   C o l l e g e / U n i v e r s i t y   T r a i n i n g           n  D                                                                    T e x t 3 8           > D e s c r i b e   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r .   > D e s c r i b e   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r .           :  D                                                                    T e x t 3 9           1 F u n d i n g   s o u r c e   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g   1 F u n d i n g   s o u r c e   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g           :  D                                                                    T e x t 4 0           1 B e g i n n i n g   d a t e   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g   1 B e g i n n i n g   d a t e   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g           6  D                                                                    T e x t 4 1           0 R e v i e w   m e t h o d   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g   0 R e v i e w   m e t h o d   f o r   c o l l e g e   o r   u n i v e r s i t y   t r a i n i n g            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 6         ! 6   A   D   L   B l i n d n e s s   S k i l l s   T r a i n i n g   ! 6   A   D   L   B l i n d n e s s   S k i l l s   T r a i n i n g           p  D                                                                    T e x t 4 2           > D e s c r i b e   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r   ? D e s c r i b e   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g   a n d   i d e n t i f y   p r o v i d e r .           >  D                                                                    T e x t 4 3           2 F u n d i n g   s o u r c e   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g   2 F u n d i n g   s o u r c e   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g           >  D                                                                    T e x t 4 4           2 B e g i n n i n g   d a t e   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g   2 B e g i n n i n g   d a t e   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g           :  D                                                                    T e x t 4 5           1 R e v i e w   m e t h o d   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g   1 R e v i e w   m e t h o d   f o r   A   D   L   B l i n d n e s s   s k i l l s   t r a i n i n g            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 7          7   O r i e n t a t i o n / M o b i l i t y   T r a i n i n g    7   O r i e n t a t i o n / M o b i l i t y   T r a i n i n g           v  D                                                                    T e x t 4 6           @ D e s c r i b e   o r i e n t a t i o n   a n d   m o b i l i t y   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r   @ D e s c r i b e   o r i e n t a t i o n   a n d   m o b i l i t y   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r           "  D                                                                    T e x t 4 8           + F u n d i n g   s o u r c e   f o r   o r i e n t a t i o n   a n d   m o b i l i t y   + F u n d i n g   s o u r c e   f o r   o r i e n t a t i o n   a n d   m o b i l i t y           F  D                                                                    T e x t 4 7           4 B e g i n n i n g   d a t e   f o r   o r i e n t a t i o n   a n d   m o b i l i t y   s e r v i c e s   4 B e g i n n i n g   d a t e   f o r   o r i e n t a t i o n   a n d   m o b i l i t y   s e r v i c e s             D                                                                    T e x t 4 9           * R e v i e w   m e t h o d   f o r   o r i e n t a t i o n   a n d   m o b i l i t y   * R e v i e w   m e t h o d   f o r   o r i e n t a t i o n   a n d   m o b i l i t y            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>   D                                                                   C h e c k 8         % 8   R e h a b i l i t a t i o n   E n g i n e e r i n g   S e r v i c e s   % 8   R e h a b i l i t a t i o n   E n g i n e e r i n g   S e r v i c e s           Z  D                                                                    T e x t 5 0           9 D e s c r i b e   r e h a b   e n g i n e e r i n g   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r   9 D e s c r i b e   r e h a b   e n g i n e e r i n g   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r           *  D                                                                    T e x t 5 1           - F u n d i n g   s o u r c e   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s   - F u n d i n g   s o u r c e   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s           *  D                                                                    T e x t 5 2           - B e g i n n i n g   d a t e   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s   - B e g i n n i n g   d a t e   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s           &  D                                                                    T e x t 5 3           , R e v i e w   m e t h o d   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s   , R e v i e w   m e t h o d   f o r   r e h a b   e n g i n e e r i n g   s e r v i c e s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>   D                                                                   C h e c k 1 0         # 9   A s s i s t i v e   T e c h n o l o g y   A i d s / D e v i c e s   # 9   A s s i s t i v e   T e c h n o l o g y   A i d s / D e v i c e s           V  D                                                                    T e x t 5 4           8 D e s c r i b e   a s s i s t i v e   t e c h n o l o g y   a i d s   a n d   i d e n t i f y   p r o v i d e r   8 D e s c r i b e   a s s i s t i v e   t e c h n o l o g y   a i d s   a n d   i d e n t i f y   p r o v i d e r           &  D                                                                    T e x t 5 5           , F u n d i n g   s o u r c e   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s   , F u n d i n g   s o u r c e   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s           &  D                                                                    T e x t 5 6           , B e g i n n i n g   d a t e   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s   , B e g i n n i n g   d a t e   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s           $  D                                                                    T e x t 5 7           + R e v i e w   m e t h o d   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s   , R e v i e w   m e t h o d   f o r   a s s i s t i v e   t e c h n o l o g y   a i d s .            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 9          1 0   J o b   S e a r c h    1 0   J o b   S e a r c h           F  D                                                                    T e x t 5 8           4 D e s c r i b e   j o b   s e a r c h   a s s i s t a n c e   a n d   i d e n t i f y   p r o v i d e r   4 D e s c r i b e   j o b   s e a r c h   a s s i s t a n c e   a n d   i d e n t i f y   p r o v i d e r             D                                                                    T e x t 5 9           ( F u n d i n g   s o u r c e   f o r   j o b   s e a r c h   a s s i s t a n c e   ( F u n d i n g   s o u r c e   f o r   j o b   s e a r c h   a s s i s t a n c e             D                                                                    T e x t 6 0           ( B e g i n n i n g   d a t e   f o r   j o b   s e a r c h   a s s i s t a n c e   ( B e g i n n i n g   d a t e   f o r   j o b   s e a r c h   a s s i s t a n c e             D                                                                    T e x t 6 1           ' R e v i e w   m e t h o d   f o r   j o b   s e a r c h   a s s i s t a n c e   ' R e v i e w   m e t h o d   f o r   j o b   s e a r c h   a s s i s t a n c e            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 1          1 1   J o b   P l a c e m e n t    1 1   J o b   P l a c e m e n t           &  D                                                                    T e x t 6 2           , D e s c r i b e   j o b   p l a c e m e n t   a n d   i d e n t i f y   p r o v i d e r   , D e s c r i b e   j o b   p l a c e m e n t   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 6 3             F u n d i n g   s o u r c e   f o r   j o b   p l a c e m e n t     F u n d i n g   s o u r c e   f o r   j o b   p l a c e m e n t              D                                                                    T e x t 6 4             B e g i n n i n g   d a t e   f o r   j o b   p l a c e m e n t     B e g i n n i n g   d a t e   f o r   j o b   p l a c e m e n t              D                                                                    T e x t 6 5            R e v i e w   m e t h o d   f o r   j o b   p l a c e m e n t    R e v i e w   m e t h o d   f o r   j o b   p l a c e m e n t            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 2          1 2   M a i n t e n a n c e    1 2   M a i n t e n a n c e             D                                                                    T e x t 6 6           * D e s c r i b e   m a i n t e n a n c e   a n d   i d e n t i f y   p r o v i d e r   * D e s c r i b e   m a i n t e n a n c e   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 6 7            F u n d i n g   s o u r c e   f o r   m a i n t e n a n c e    F u n d i n g   s o u r c e   f o r   m a i n t e n a n c e              D                                                                    T e x t 6 8            B e g i n n i n g   d a t e   f o r   m a i n t e n a n c e    B e g i n n i n g   d a t e   f o r   m a i n t e n a n c e              D                                                                    T e x t 6 9            R e v i e w   m e t h o d   f o r   m a i n t e n a n c e    R e v i e w   m e t h o d   f o r   m a i n t e n a n c e            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 3          1 3   T r a n s p o r t a t i o n    1 3   T r a n s p o r t a t i o n           *  D                                                                    T e x t 7 0           - D e s c r i b e   t r a n s p o r t a t i o n   a n d   i d e n t i f y   p r o v i d e r   - D e s c r i b e   t r a n s p o r t a t i o n   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 7 1           ! F u n d i n g   s o u r c e   f o r   t r a n s p o r t a t i o n   ! F u n d i n g   s o u r c e   f o r   t r a n s p o r t a t i o n              D                                                                    T e x t 7 2           ! B e g i n n i n g   d a t e   f o r   t r a n s p o r t a t i o n   ! B e g i n n i n g   d a t e   f o r   t r a n s p o r t a t i o n              D                                                                    T e x t 7 3             R e v i e w   m e t h o d   f o r   t r a n s p o r t a t i o n     R e v i e w   m e t h o d   f o r   t r a n s p o r t a t i o n            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 4         	 1 4   R e a d e r   	 1 4   R e a d e r           .  D                                                                    T e x t 7 4           . D e s c r i b e   r e a d e r   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r   . D e s c r i b e   r e a d e r   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 7 5           " F u n d i n g   s o u r c e   f o r   r e a d e r   s e r v i c e s   " F u n d i n g   s o u r c e   f o r   r e a d e r   s e r v i c e s              D                                                                    T e x t 7 6           " B e g i n n i n g   d a t e   f o r   r e a d e r   s e r v i c e s   " B e g i n n i n g   d a t e   f o r   r e a d e r   s e r v i c e s              D                                                                    T e x t 7 7           ! R e v i e w   m e t h o d   f o r   r e a d e r   s e r v i c e s   ! R e v i e w   m e t h o d   f o r   r e a d e r   s e r v i c e s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 5          1 5   I n t e r p r e t e r    1 5   I n t e r p r e t e r           B  D                                                                    T e x t 7 8           3 D e s c r i b e   i n t e r p r e t e r   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r   3 D e s c r i b e   i n t e r p r e t e r   s e r v i c e s   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 7 9            F u n d i n g   s o u r c e   f o r   i n t e r p r e t e r    F u n d i n g   s o u r c e   f o r   i n t e r p r e t e r              D                                                                    T e x t 8 0            B e g i n n i n g   d a t e   f o r   i n t e r p r e t e r    B e g i n n i n g   d a t e   f o r   i n t e r p r e t e r              D                                                                     T e x t 8 1                R e v i e w   m e t h o d   f o r   i n t e r p r e t e r            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 6          1 6   S e r v i c e s   t o   F a m i l y   M e m b e r s    1 6   S e r v i c e s   t o   F a m i l y   M e m b e r s           Z  D                                                                    T e x t 8 2           9 D e s c r i b e   s e r v i c e s   t o   f a m i l y   m e m b e r s   a n d   i d e n t i f y   p r o v i d e r   9 D e s c r i b e   s e r v i c e s   t o   f a m i l y   m e m b e r s   a n d   i d e n t i f y   p r o v i d e r           *  D                                                                    T e x t 8 3           - F u n d i n g   s o u r c e   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s   - F u n d i n g   s o u r c e   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s           *  D                                                                    T e x t 8 4           - B e g i n n i n g   d a t e   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s   - B e g i n n i n g   d a t e   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s           &  D                                                                    T e x t 8 5           , R e v i e w   m e t h o d   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s   , R e v i e w   m e t h o d   f o r   s e r v i c e s   t o   f a m i l y   m e m b e r s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 7          1 7   O c c u p a t i o n a l   T o o l s / L i c e n s e    1 7   O c c u p a t i o n a l   T o o l s / L i c e n s e           f  D                                                                    T e x t 8 6           < D e s c r i b e   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e   a n d   i d e n t i f y   p r o v i d e r   < D e s c r i b e   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e   a n d   i d e n t i f y   p r o v i d e r           6  D                                                                    T e x t 8 7           0 F u n d i n g   s o u r c e   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e   0 F u n d i n g   s o u r c e   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e           6  D                                                                    T e x t 8 8           0 B e g i n n i n g   d a t e   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e   0 B e g i n n i n g   d a t e   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e           2  D                                                                    T e x t 8 9           / R e v i e w   m e t h o d   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e   / R e v i e w   m e t h o d   f o r   o c c u p a t i o n a l   t o o l s   o r   l i c e n s e            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 8          1 8   P e r s o n a l   C a r e   A t t e n d a n t    1 8   P e r s o n a l   C a r e   A t t e n d a n t           p  D                                                                    T e x t 9 0           > D e s c r i b e   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r   ? D e s c r i b e   p e r s o n a l   c a r e   a t t e n d a n c e   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r           B  D                                                                    T e x t 9 1           3 F u n d i n g   s o u r c e   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s   3 F u n d i n g   s o u r c e   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s           B  D                                                                    T e x t 9 2           3 B e g i n n i n g   d a t e   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s   3 B e g i n n i n g   d a t e   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s           >  D                                                                    T e x t 9 3           2 R e v i e w   m e t h o d   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s   2 R e v i e w   m e t h o d   f o r   p e r s o n a l   c a r e   a t t e n d a n t   s e r v i c e s            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 1 9          1 9   E x t e n d e d   S e r v i c e   P r o v i d e r    1 9   E x t e n d e d   S e r v i c e   P r o v i d e r           Z  D                                                                    T e x t 9 4           9 D e s c r i b e   n a t u r e   o f   e x t e n d e d   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r   9 D e s c r i b e   n a t u r e   o f   e x t e n d e d   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r             D                                                                    T e x t 9 5           # F u n d i n g   s o u r c e   f o r   e x t e n d e d   s e r v i c e   # F u n d i n g   s o u r c e   f o r   e x t e n d e d   s e r v i c e             D                                                                    T e x t 9 6           # B e g i n n i n g   d a t e   f o r   e x t e n d e d   s e r v i c e   # B e g i n n i n g   d a t e   f o r   e x t e n d e d   s e r v i c e              D                                                                    T e x t 9 7           " R e v i e w   m e t h o d   f o r   e x t e n d e d   s e r v i c e   " R e v i e w   m e t h o d   f o r   e x t e n d e d   s e r v i c e            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt>    D                                                                   C h e c k 2 0          2 0   O t h e r   S e r v i c e    2 0   O t h e r   S e r v i c e              D                                                                    T e x t 2 4            S p e c i f y   o t h e r   s e r v i c e    S p e c i f y   o t h e r   s e r v i c e           N  D                                                                    T e x t 9 8           6 D e s c r i b e   n a t u r e   o f   o t h e r   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r   6 D e s c r i b e   n a t u r e   o f   o t h e r   s e r v i c e   a n d   i d e n t i f y   p r o v i d e r              D                                                                    T e x t 9 9             F u n d i n g   s o u r c e   f o r   o t h e r   s e r v i c e     F u n d i n g   s o u r c e   f o r   o t h e r   s e r v i c e              D                                                                    T e x t 1 0 0             B e g i n n i n g   d a t e   f o r   o t h e r   s e r v i c e     B e g i n n i n g   d a t e   f o r   o t h e r   s e r v i c e              D                                                                    T e x t 1 0 1            R e v i e w   m e t h o d   f o r   o t h e r   s e r v i c e    R e v i e w   m e t h o d   f o r   o t h e r   s e r v i c e            $$If    !v h5 55T55#v #v#vT#v#v:V l 
t  0                              +  , 5 55T55a yt> u $$If    !v h5 +#v +:V l P
t  +  , 5 +/       /      a yt>  $$If    !v h5 +#v +:V l P	 
t  
      +  , 5 +/      a p
      yt>   D                                                                   C h e c k 2 1         j C l i e n t   r e s p o n s i b i l i t y   -   A p p l y   f o r   i t e m s   s u c h   a s   s p e c i f i c   c o m p a r a b l e   b e n e f i t s   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n   h C l i e n t   r e s p o n s i b i l i t y   a p p l y   f o r   i t e m s   s u c h   a s   s p e c i f i c   c o m p a r a b l e   b e n e f i t s   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n           w $If   K$L$l !v h5 0*#v 0*:V l _
t  6`m      , 5 0*/ e4yt    D                                                                    T e x t 1 5           " L i s t   i t e m s   c l i e n t   s h o u l d   a p p l y   f o r   " L i s t   i t e m s   c l i e n t   s h o u l d   a p p l y   f o r            $If   K$L$l !v h5 0*#v 0*:V l _
t  6`m      , 5 0*/ /      e4yt u $$If    !v h5 +#v +:V l !
t  +  , 5 +/      / a yt> r  D                                                                   C h e c k 2 4         ? C l i e n t   r e s p o n s i b i l i t y  
 R e g u l a r l y   r e v i e w   p r o g r e s s   w i t h   c o u n s e l o r   ? C l i e n t   r e s p o n s i b i l i t y     R e g u l a r l y   r e v i e w   p r o g r e s s   w i t h   c o u n s e l o r           u $$If    !v h5 +#v +:V l c
t  +  , 5 +/ / 
     a yt> N  D                                                                   C h e c k 2 3         6 C l i e n t   r e s p o n s i b i l i t y  
 I n f o r m   c o u n s e l o r   o f   a n y   c h a n g e s   6 C l i e n t   R e s p o n s i b i l i t y     I n f o r m   c o u n s e l o r   o f   a n y   c h a n g e s           u $$If    !v h5 +#v +:V l c
t  +  , 5 +/ / 
     a yt>   D                                                                   C h e c k 2 5         C C l i e n t   r e s p o n s i b i l i t y  
 P r o v i d e   f i n a n c i a l   i n f o r m a t i o n   a s   a p p r o p r i a t e   C C l i e n t   r e s p o n s i b i l i t y     P r o v i d e   f i n a n c i a l   i n f o r m a t i o n   a s   a p p r o p r i a t e           u $$If    !v h5 +#v +:V l D
t  +  , 5 +/ /      a yt>  $$If    !v h5 +#v +:V l P	 
t  
      +  , 5 +/      /       a p
      yt>   D                                                                   C h e c k 3 1         T C l i e n t   r e s p o n s i b i l i t y  
 E n r o l l   o r   r e g i s t e r   f o r   t r a i n i n g   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n   T C l i e n t   R e s p o n s i b i l i t y     E n r o l l   o r   r e g i s t e r   f o r   t r a i n i n g   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n           V  D                                                                    T e x t 1 4           8 L i s t   w h e r e   c l i e n t   s h o u l d   e n r o l l   o r   r e g i s t e r   f o r   t r a i n i n g   8 L i s t   w h e r e   c l i e n t   s h o u l d   e n r o l l   o r   r e g i s t e r   f o r   t r a i n i n g            $If   K$L$l !v h5 (#v (:V l f
t  6`      , 5 (/ /       e4yt> b  D                                                                   C h e c k 3 2         ; C l i e n t   r e s p o n s i b i l i t y  
 P r o v i d e   c o u n s e l o r   w i t h   g r a d e   r e p o r t s   ; C l i e n t   r e s p o n s i b i l i t y     P r o v i d e   c o u n s e l o r   w i t h   g r a d e   r e p o r t s             D                                                                   C h e c k 3 3         R C l i e n t   R e s p o n s i b i l i t y  
 A p p l y   f o r   P e l l   G r a n t   A n n u a l l y   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n   R C l i e n t   R e s p o n s i b i l i t y     A p p l y   f o r   p e l l   g r a n t   a n n u a l l y   a n d   p r o v i d e   t h e   d o c u m e n t a t i o n           m $$If    !v h5 +#v +:V l 4A
t  +  , 5 +/       a f4yt>  $$If    !v h5 +#v +:V l P	 
t  
      +  , 5 +/       a p
      yt>   D                                                                   C h e c k 3 4         ' C l i e n t   r e s p o n s i b l e   f o r   l o o k i n g   f o r   w o r k   ' C l i e n t   r e s p o n s i b l e   f o r   l o o k i n g   f o r   w o r k           r  D                                                                   C h e c k 3 5         ? C l i e n t   i s   r e s p o n s i b l e   f o r   i n f o r m i n g   c o u n s e l o r   w h e n   j o b   i s   f o u n d   ? C l i e n t   i s   r e s p o n s i b l e   f o r   i n f o r m i n g   c o u n s e l o r   w h e n   j o b   i s   f o u n d           m $$If    !v h5 +#v +:V l 4
t  +  , 5 +/       a f4yt>  $$If    !v h5 +#v +:V l P	 
t  
      +  , 5 +/       a p
      yt>    D                                                                   C h e c k 3 7          O t h e r   c l i e n t   r e s p o n s i b i l i t i e s    O t h e r   c l i e n t   r e s p o n s i b i l i t i e s           "  D                                                                               . S p e c i f y   a n y   a d d i t i o n a l   c l i e n t   r e s p o n s i b i l i t i e s   . S p e c i f y   a n y   a d d i t i o n a l   c l i e n t   r e s p o n s i b i l i t i e s           t $$If    !v h5 +#v +:V l R
t  +  , 5 +/       a p
        yt>  $$If    !v h5 +#v +:V l P	 
t  
      +  , 5 +/       a p
      yt> v   D                                                               e     C h e c k 3 8                         v   D                                                               e     C h e c k 3 9                         g $$If    !v h5 +#v +:V l )
t  +  , 5 +/       a yt> u $$If    !v h5 +#v +:V l c
t  +  , 5 +/       / a yt>    D                                                                    T e x t 1 0            D a t e   I   P   E   s i g n e d   b y   c l i e n t    D a t e   I   P   E   s i g n e d   b y   c l i e n t              D                                                                    T e x t 1 1            D a t e   I   P   E   s i g n e d   b y   c o u n s e l o r    D a t e   I   P   E   s i g n e d   b y   c o u n s e l o r           $If   K$L$l !v h5 5 55 5;5 5#v #v #v#v #v;#v #v:V l 4M
t  6P  *   , 5 5 55 5;5 5/       // / / /      /////      //////      e4f4yt> $If   K$L$l !v h5 5 55 5;5 5#v #v #v#v #v;#v #v:V l 4C
t  6P  *   , 5 5 55 5;5 5/       // / / /      /////      /////      /e4f4yt> o $$If    !v h5 +#v +:V l 
t  +  5 +/ /       a yt> $  D                                                                    T e x t 5           , I   P   E   r e v i e w   m u s t   b e   c o m p l e t e d   n o   l a t e r   t h a n   , I   P   E   r e v i e w   m u s t   b e   c o m p l e t e d   n o   l a t e r   t h a n            $$If    !v h5 5#v #v:V l @
t  +  , 5 5/       / /      /a yt> j $$If    !v h5 +#v +:V l l/
t    6  , 5 +/      a yt> D  D                                                                    T e x t 6           4 D a t e   t h a t   p e r i o d i c   o r   a n n u a l   r e v i e w   w a s   c o n d u c t e d   o n   4 D a t e   t h a t   p e r i o d i c   o r   a n n u a l   r e v i e w   w a s   c o n d u c t e d   o n           j $$If    !v h5 +#v +:V l :
t    6  , 5 +/      a yt> F  D                                                                    T e x t 2 2           5 A d d i t i o n a l   d a t e s   t h a t   I   P   E     r e v i e w   w a s   c o n d u c t i e d   o n   3 A d d i t i o n a l   d a t e s   t h a t   I   P   E   r e v i e w   w a s   c o n d u c t e d   o n           j $$If    !v h5 +#v +:V l 
t    6  , 5 +/      a yt>    D                                                                    T e x t 7            L i s t   a n y   a d d i t i o n a l   c o m m e n t s    L i s t   a n y   a d d i t i o n a l   c o m m e n t s           j $$If    !v h5 +#v +:V l  
t    6  , 5 +/      a yt>    D                                                                    T e x t 2 3            L i s t   a n y   a d d i t i o n a l   c o m m e n t s    L i s t   a n y   a d d i t i o n a l   c o m m e n t s           j $$If    !v h5 +#v +:V l  
t    6  , 5 +/      a yt>  $$If    !v h5 \5<#v \#v<:V l L
t    6  , 5 \5</      a yt>  $$If    !v h5 &5&5L5L#v &#vL:V l 
t  0                                            6  5 &5La ytZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          @  @ @          N o r m a l       CJ _HaJ mH	sH	tH	                  D A@ D          D e f a u l t   P a r a g r a p h   F o n t     R i@ R          T a b l e   N o r m a l      4 
l 4   a      ( k  (           N o   L i s t          j @  j   b?`   
 T a b l e   G r i d   7 :V 0                                   4 @ 4   8    H e a d e r      !   4  @ 4   8    F o o t e r      !   . )@ !.   8    P a g e   N u m b e r     f \@  f   7    z - T o p   o f   F o r m     $&d P    a$  <CJ OJ QJ ^J aJ  l ]@  l   7    z - B o t t o m   o f   F o r m     $$d N    a$  <CJ OJ QJ ^J aJ      p$    &       k             4  ;  O  P  \    <  =        4  5  6  J  ]  |                      ?  S  g  {                  S  g  {                $  %  X  l                  +  ,  d  x                '  ;  <  \  p                	   	  !	  B	  V	  j	  ~	  	  	  	  	  	  	  
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    +  ?  S  g  h                *  >  R  f  g                !  5  I  ]  q  r  s          H  I  ]  ^  _  `                  `  a  u  v  w            /  d  e              =  >                                (  )  .  /  0  1  g  {  |  }      p    T             !  _"  "  :#  ;#  #  #  #  #  #  #  #  #  #  $  $  $   $  !$  #$  $$  &$  '$  )$  *$  6$  =$  _$  k$  l$  m$  n$  q$      0                      0                      0                      0                      0                      0                     0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                 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  
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  +  g      *  f        5  I  ]  q        ]  ^  _  `  u  v      d  e      .  /  g  {  :#  q$  j 0 0                 j 00               5j 0 0                 j 00               ,6j 00               ,6j 00         F        j 0 0                 j 0 0               j 0 0               WWF        j 0 0               @  0                 j 0 0               @  X0                   j 0 0               @0"	  	         j 0 0               @1               j 0 0               @   0                    j 0 0               p   0                 j 0 0               ͻ0  0              j 0 0               A  1              j 0 0               B  2              j 0 0               WB  X2              j 0 0               CC  M3  S  _  W        j 0 0               WFF        j 0 0               F0  L           j 0 0               @   0              j 0 0               @  0                   j 0 0               @   0    	               j 0M0         ,   N   4j 0 0                 j 0,0                 j 0,0            -   XAj 0,0                 j 0 0                 j 0V0            W   0j 0V0                  @             j 0 0                  @             j 0 0               9j 0 0               9j 0 0                @   0      fR           j 0 0               j 0 0                 D)j 0 0               j 0 0                 :j 0 0                3j 00                 j 00                3
@   0            0     j 0 0               @*j 00               \*j 0 0                     0                               	                  P   P   P   S      6
  D  z    h      N          ~        .            8      `         <   !  !  N"  #  $  &  '  "(   )  &*  t,                    !   #   %   '   )   *   ,   .   /   1   3   5   7   8   :   <   >   @   B   C   F   H   I   K   M   O   Q   S   U   V   Z   ^   b   d   g   j   n   t                  D
          z  L  &            n          R        J  $      t   r!  8"  "  Z#  6$  `$  d$  $  %  %  &  '  '  n(  (  ")  D)   *  +  r+  t+  ,  ,  ,     & P                    "   $   &   (   +   -   0   2   4   6   9   ;   =   ?   A   D   E   G   J   L   N   P   R   T   W   X   Y   [   \   ]   _   `   a   c   e   f   h   i   k   l   m   o   p   q   r   s   u                                   g   i      ,  2  ;  G  M  \  l                            ,  2                          
      #  ?  K  Q  S  _  e  g  s  y  {                                    !  S  _  e  g  s  y  {                                      "  %  5  X  d  j  l  x  ~                                      #  )  ,  <  d  p  v  x                                      %  '  3  9  <  L  \  h  n  p  |                                  	  
	  	  	  	  !	  1	  B	  N	  T	  V	  b	  h	  j	  v	  |	  ~	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  
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    #  )  +  7  =  ?  K  Q  S  _  e  h  x                                "  (  *  6  <  >  J  P  R  ^  d  g  w                                    !  -  3  5  A  G  I  U  [  ]  i  o      I  U  [  `  p            .  a  m  s  w            /  ?                                g  s  y  n#  z#  #  #  #  #  #  #  #  #  #  #  p$  CFFG,G,G,G,G,FFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFG,FFFFFG FG,G,G,G FG,G G,G,G,FG,G,FFFFFFF$   +   -   2   =   ?   S   !&                                                                                                                                                                                                                                                                                                                                                                                                                                                           @                                @             H               0    (    	                    
                        0    (    	                    
          B    
        S              	   ?          ~    T e x t 1 0 3  T e x t 1 0 2  C h e c k 2 6  C h e c k 2 7  C h e c k 2 8  C h e c k 2 9  C h e c k 3 0  T e x t 2  T e x t 9  C h e c k 1  T e x t 1 9  T e x t 2 0  T e x t 2 1  T e x t 1 2  C h e c k 2  T e x t 2 7  T e x t 2 8  T e x t 2 9  C h e c k 3  T e x t 3 0  T e x t 3 1  T e x t 3 2  T e x t 3 3  C h e c k 4  T e x t 3 4  T e x t 3 5  T e x t 3 6  T e x t 3 7  C h e c k 5  T e x t 3 8  T e x t 3 9  T e x t 4 0  T e x t 4 1  C h e c k 6  T e x t 4 2  T e x t 4 3  T e x t 4 4  T e x t 4 5  C h e c k 7  T e x t 4 6  T e x t 4 8  T e x t 4 7  T e x t 4 9  C h e c k 8  T e x t 5 0  T e x t 5 1  T e x t 5 2  T e x t 5 3  C h e c k 1 0  T e x t 5 4  T e x t 5 5  T e x t 5 6  T e x t 5 7  C h e c k 9  T e x t 5 8  T e x t 5 9  T e x t 6 0  T e x t 6 1  C h e c k 1 1  T e x t 6 2  T e x t 6 3  T e x t 6 4  T e x t 6 5  C h e c k 1 2  T e x t 6 6  T e x t 6 7  T e x t 6 8  T e x t 6 9  C h e c k 1 3  T e x t 7 0  T e x t 7 1  T e x t 7 2  T e x t 7 3  C h e c k 1 4  T e x t 7 4  T e x t 7 5  T e x t 7 6  T e x t 7 7  C h e c k 1 5  T e x t 7 8  T e x t 7 9  T e x t 8 0  T e x t 8 1  C h e c k 1 6  T e x t 8 2  T e x t 8 3  T e x t 8 4  T e x t 8 5  C h e c k 1 7  T e x t 8 6  T e x t 8 7  T e x t 8 8  T e x t 8 9  C h e c k 1 8  T e x t 9 0  T e x t 9 1  T e x t 9 2  T e x t 9 3  C h e c k 1 9  T e x t 9 4  T e x t 9 5  T e x t 9 6  T e x t 9 7  C h e c k 2 0  T e x t 2 4  T e x t 9 8  T e x t 9 9  T e x t 1 0 0  T e x t 1 0 1  C h e c k 2 1  T e x t 1 5  C h e c k 2 3  C h e c k 2 4  C h e c k 2 5  C h e c k 3 1  C h e c k 3 2  T e x t 1 4  C h e c k 3 3  C h e c k 3 4  C h e c k 3 5  C h e c k 3 7  C h e c k 3 8  C h e c k 3 9  T e x t 1 0  T e x t 1 1  T e x t 5    ;  \  z                         ?  S  g              S  g  {              %  X  l                ,  d  x              '  <  \  p              	  !	  B	  V	  j	  ~	  	  	  	  	  	  
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    +  ?  S  h              *  >  R  g              !  5  I  ]    I  `  `      a  a      /            g  q$                              	   
                                                                      !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @   A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z   [   \   ]   ^   _   `   a   b   c   d   e   f   g   h   i   j   k   l   m   n   p   o   q   r   t   s   u   v   w   x   y   z   {   |   }   3  N  m        !    3            $  R  f  z            "  f  z              #  6  k                *  =  w              &  :  M  o              	  	  2	  U	  i	  }	  	  	  	  	  	  
  
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  s
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  *  >  R  f  y            )  =  Q  e  x               4  H  \  p    \  q      /  t         @            z  q$     " I n t e r n a l   D a t a   I n t e g r i t y   ( T y p e   4 )   1     q$          q$      $  $   $   $  !$  !$  #$  $$  &$  '$  )$  *$  n$  q$                    $  $   $   $  !$  !$  #$  $$  &$  '$  )$  *$  n$  q$                    j   -  2  z                    4  4  5  6  n  o              <  <  4  4  q  q  r  s      '  F  G  ^  _  _  `      /  ?  `  a  t  u  u  v  w                                              <  <              /  /  1  1  {  {  |            i  j  m  m      3  4              K  K          n  n      K  K          X  X      w  w        2!  2!  6!  6!  "  "  9#  9#  :#  :#  ;#  $  $  $   $   $  !$  !$  #$  $$  &$  '$  )$  B$  L$  P$  ^$  m$  q$                                                                                                                                                                        $  $   $   $  !$  !$  #$  $$  &$  '$  )$  *$  n$  q$                 zC
hu8              h      
   ^`h    H     .             h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .    zC
                      	 	 	 	 	 	 	 	 	                   ) d M Z n WO } d	 
 /
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 }4 _ 3  1] >R 9 R# $ y% & ?) G0 1S1 2 GG2 J2 4 7 H67 x7 2 8 
Q8 W8 79 _E; ? A w7A DA Q<B imE qI 8L wL P TQ 5R YT )CU qU (W 6Z  Z (!\ ;] a] b?` \` 7?b ce g jng &3i =j 1Do !p ,Jr -t Lw m~ RE f D #@  x ; @   @A RU Z7 } ~   bC rW B V1 M {  3 t8 } kV     `   * }  R : m s _8   2 "# X\ #: Jy  ) F \] )3 a |  m s a  8 /  z   	 T ~[  W yD 7b J Jy 9  S a  ? fb >    Y } {_  B N Z f [ w A A| qN 7 M 3F "     k          4  ;  O  P  \  <  =      4  5  6  ]  |                      ?  S  g  {                  S  g  {                $  %  X  l                  +  ,  d  x                '  ;  <  \  p                	   	  !	  B	  V	  j	  ~	  	  	  	  	  	  	  
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    +  ?  S  g  h                *  >  R  f  g              !  5  I  ]  q  r  s          H  I  ]  ^  _  `                  a  u  v          d  e              =  >                              (  )  .  /  0  1  g  {  |    :#  ;#  #  #  #  #  #  #  #  #  #  $  $  $  6$  =$  _$  k$  l$  q$                              V                                                                                                                                                                                                                                                          "                   "                                                     "                                                  @  -  2  p  -     -             -  -  -  -  -  -  -  -	  -
  -  -  -  -  -  -  -  -  -  p$  @   @  @  
    @      @      @      @      @      @      @      @      @      @       @  "    @  $    @  &    @  (    @  *    @  ,    @          U n k n o w n                                   G  z                  T i m e s   N e w   R o m a n   5                       S y m b o l   3&  z                  A r i a l   "  1      죫&ګ&ʣ&
    d         A   d        A       "                                                                                                                                                                                                                                                                                                                         hh  4    d      $  $      tP                                                             2Q                               XR     ?    w7A     2                         S t a t e   o f   M i s s o u r i        l a i r p g 1  S h a r o n   S c h u m a n                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Oh +'0                                                       	         ,  
   L     X     d     p     |                            State of Missouri                   lairpg1                           IPE 10-06.dot         Sharon Schuman        10        Microsoft Office 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Department of Social Services     A            $                                          State of 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                                                                      !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @   A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z   [   \   ]   ^   _   `   a   b   c   d   e   f   g   h   i   j   k   l   m   n   o   p   q   r   s   t   u   v   w   x   y   z   {   |   }   ~                                                                                                                                                                                                                                                                                                                                                                                                                      	  
                                             !  "  #  $  %  &  '  (  )  *  +  ,  -  .  /  0  1  2  3  4  5  6  7  8  9  :  ;  <  =  >  ?  @  A  B  C  D  E  F  G  H  I  J  K  L  N  O  P  Q  R  S  T  V  W  X  Y  Z  [  \  a  b  p  e  f  g  h  i  j  k  l  m  n  o  R o o t   E n t r y                                                 	           F            Md         D a t a                                                         
                                        f     1 T a b l e                                                                                                eb      W o r d D o c u m e n t                                                                                        8&      S u m m a r y I n f o r m a t i o n                           (                                     M          D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                        U         M a c r o s                                                                                   PMPM            V B A                                                            	                       PMPM            d i r                                                                                                           T h i s D o c u m e n t                                             
                                                _ V B A _ P R O J E C T                                                                               '   *      P R O J E C T                                                                                              T                                 	   
                                                                   !   "   #   $   %   &   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @   A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   U   V   W   X   Y   Z   \   _   Բ     0*	 pH  d   ProjectQ (  @=
l	F J<
 rstdole>s t  d o l eP  h %^ * \G{00020430- C 
0046}# 2.0#0#C: \WINDOWS \system32\e2.tlb #OLE Automation ` EOfficEO f i cEE2DF 8D04C-5B FA-101B-BDE5EAAC42Egra m Files\@CommonM icrosoft  Shared\ OFFICE11 \MSO.DLL#M 11.0 Ob Library K  MSForms>  	M S F r m s 3	  D452 EE1-E08F`A-8 -02 608C4D0BB4SSSFM260L'B _&/ ; "1 jIqAAHq00}#0Bq#G 50 	 AACE8E a -AEBD-47 09-96D9- C54F110C60C@ƉDOC UME~1\sc hurb8\LOCALS Tem p\Word8.0@c7.exdHd<" .E .`(M "BTh isDocumentG TilDlc uoe n2  HB1BZ B,!T4""+                                                                  ҆4  #                                                                                    x                                       ME                    (    SL   S   S    <       N 0 { 0 0 0 2 0 9 0 6 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 }      @                                                                                                                                           h  @             %      p                   @     @                                                                                   "         	             	     "        	             	     "         	         (    	     "    0    	         8    	     "    @    	         H   X         o p   @     o `        o P        o @        o 0   (      Attribut e VB_Nam e = "Thi sDocument"

Bas0{00020P906- 0C $0046}|GlobalSpacFalsedCreatablPredecla Id TruBExposeTempl ateDerivBustomi6zD2P S ub Check Box16_Cl ick()
p
End	O ptionButton4Text-_Changfe-D33,D\                    ay   	  	               * \ G { 0 0 0 2 0 4 E F - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 4 . 0 # 9 # C : \ P R O G R A ~ 1 \ C O M M O N ~ 1 \ M I C R O S ~ 1 \ V B A \ V B A 6 \ V B E 6 . D L L # V i s u a l   B a s i c   F o r   A p p l i c a t i o n s             * \ G { 0 0 0 2 0 9 0 5 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 8 . 3 # 0 # C : \ P r o g r a m   F i l e s \ M i c r o s o f t   O f f i c e \ O F F I C E 1 1 \ M S W O R D . O L B # M i c r o s o f t   W o r d   1 1 . 0   O b j e c t   L i b r a r y              * \ G { 0 0 0 2 0 4 3 0 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 2 . 0 # 0 # C : \ W I N D O W S \ s y s t e m 3 2 \ s t d o l e 2 . t l b # O L E   A u t o m a t i o n             (* \ G { 2 D F 8 D 0 4 C - 5 B F A - 1 0 1 B - B D E 5 - 0 0 A A 0 0 4 4 D E 5 2 } # 2 . 3 # 0 # C : \ P r o g r a m   F i l e s \ C o m m o n   F i l e s \ M i c r o s o f t   S h a r e d \ O F F I C E 1 1 \ M S O . D L L # M i c r o s o f t   O f f i c e   1 1 . 0   O b j e c t   L i b r a r y              * \ G { 0 D 4 5 2 E E 1 - E 0 8 F - 1 0 1 A - 8 5 2 E - 0 2 6 0 8 C 4 D 0 B B 4 } # 2 . 0 # 0 # C : \ W I N D O W S \ S y s t e m 3 2 \ F M 2 0 . D L L # M i c r o s o f t   F o r m s   2 . 0   O b j e c t   L i b r a r y            * \ G { A C E 8 E 0 0 4 - A E B D - 4 7 0 9 - 9 6 D 9 - C 5 4 F 1 1 0 C 6 0 C 0 } # 2 . 0 # 0 # C : \ D O C U M E ~ 1 \ s c h u r b 8 \ L O C A L S ~ 1 \ T e m p \ W o r d 8 . 0 \ M S F o r m s . e x d # M i c r o s o f t   F o r m s   2 . 0   O b j e c t   L i b r a r y              .E.`M          
       F                        T h i s D o c u m e n t  0 r 4 6 b 0 9 d 3 b  T h i s D o c u m e n t 4                  vGnDjU@   `          &  Wordk VBA Win16~ Win32 Mac VBA6# Project-  stdole`  Officeu  MSFormsC ThisDocument< 	  _Evaluate CheckBox16_Clicki OptionButton4_Click TextBox1_Change= CheckBox33_Click! OptionButton6_Click   Documentj Label1, T                                                               ID="{DBAE9158-7661-4CAE-86F2-A3B35287F031}"
Document=ThisDocument/&H00000000
Name="Project"
HelpContextID="0"
VersionCompatible32="393222000"
CMG="1D1FC2E3C204C604C604C604C6"
DPB="3A38E50A030B030B03"
GC="57558829B85BD45CD45C2B"

[Host Extender Info]
&H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000
&H00000002={000209F2-0000-0000-C000-000000000046};Word8.0;&H00000000

[Workspace]
ThisDocument=44, 44, 678, 372, C
       #-  ?@        ҋB  `        PҋB  `        @ҋB  `                                  ThisDocument T h i s D o c u m e n t                             
  	           F   Microsoft Office Word Document 
   MSWordDoc    Word.Document.8 9q                           P R O J E C T l k                                                                                       [   f       P R O J E C T w m                                                                                     ]   )        C o m p O b j                                                                                       ^   q                                                                                                                           