Official State of Rhode Island website

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State of Rhode Island Office of Rehabilitation Services Department of Human Services

Forms

Application Package for ORS Services

Application Packet-revised.1.6.2025.pdf PDF file, about 1

Solicitud e información inicial para el Programa de Rehabilitación Vocacional (VR)

Application Packet-Spanish-5.22.2024.pdf PDF file, about 1

Request For Approval To Provide Vocational Rehabilitation Services Under Fee For Service

VENDOR APPLICATION & APPROVAL PROCESS.1.2024.pdf PDF file, less than 1

Request for Mediation and/or Impartial Due Process Hearing

Mediation Request.ORS121 PDF file, less than 1

Solicitud Para Mediación Y/O Audiencia Imparcial de Garantías Procesales

ORS121 PDF file, less than 1

Pre-ETS Forms

Pre-ETS Registration-OR146 Rev.05.22.2024.pdf PDF file, less than 1

PRE-ETS Tri-Employment Afterschool Program.doc.pdf PDF file, less than 1

Pre-ETS Job Exploration Service Report Rev.2016.pdf PDF file, less than 1

Pre-ETS Orientation Checklist-ORS155-Pre-ETS Rev.2018.pdf PDF file, less than 1

Pre-ETS Work Place Readiness Report 2.29.24.pdf PDF file, less than 1

Supported Employment Forms

Community Based Work Experience.docx Word file, less than 1

Job Development Agreement.docx Word file, less than 1

Job Development Performance Review.docx Word file, less than 1

Job Placement Report.docx Word file, less than 1

Job Preparation Service Report.docx Word file, less than 1

Monthly Performance Review.docx Word file, less than 1

Provider Agreement to Provide On-Going Support Services.docx Word file, less than 1

Time Limited Job Coaching Report.docx Word file, less than 1

Travel Training.docx Word file, less than 1

Vocational Evaluation Report.docx Word file, less than 1