Section 111.11.11. Forms.  


Latest version.
  • The following forms are used by the independent living rehabilitation services program:

            1.            Application for Independent Living Rehabilitation Services—used for application for independent living rehabilitation services from the department.

            2.            Independent Living Rehabilitation Plan (ILRP) used to develop a blind person’s program for rehabilitation by providing for mutual development of goals, objectives, a summary of planned services, criteria for review and evaluation and a time frame for completion of services.

            3.            Waiver of Independent Living Rehabilitation Plan—a signed statement acknowledging the eligible individual’s choice to waive an ILRP and instead simply list the eligible individual’s independent living objectives.