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Form Number Form Title Form Language DWD Division Creation/Revision Date Content Contact
DVR-101 Waiver of 60-Day Hearing Time Limit English DVR 9/1/2001 Audrey Merten 
DVR-10527 Request for a Hearing English DVR 9/1/2001 Audrey Merten 
DVR-12726 Individualized Plan for Employment English DVR 2/18/2009 Audrey Merten 
DVR-12726-H Individualized Plan for Employment (Hmong) Hmong DVR 2/18/2009 Audrey Merten 
DVR-12726-S Individualized Plan for Employment (Spanish) Spanish DVR 2/18/2009 Audrey Merten 
DVR-12839 Impartial Hearing Officer (IHO) Invoice English DVR 7/1/2006 Audrey Merten 
DVR-12987-E Advance ERL English DVR 1/1/2009 Audrey Merten 
DVR-12987-E-S Advance ERL (Spanish) Spanish DVR 1/1/2009 Audrey Merten 
DVR-12989-E Expense Reimbursement Log (ERL) English DVR 1/1/2009 Audrey Merten 
DVR-12989-E-S Expense Reimbursement Log (ERL)(Spanish) Spanish DVR 1/1/2009 Audrey Merten 
DVR-13108 Public Transportation Travel Log English DVR 5/1/2002 Audrey Merten 
DVR-13178 Attendant/Child Care Provider Log English DVR 6/1/2005 Audrey Merten 
DVR-13179-E Collection Letter English DVR 6/21/2005 Audrey Merten 
DVR-13179-E-S Collection Letter (Spanish) Spanish DVR 6/21/2005 Audrey Merten 
DVR-13291_E Direct Payment Resolution English DVR 2/1/2003 Audrey Merten 
DVR-13447-E Bus Stipend ERL English DVR 2/6/2008 Audrey Merten 
DVR-13447-E-S Bus Stipend ERL Spanish DVR 2/6/2008 Audrey Merten 
DVR-13567-E Direct Payment Checklist English DVR 2/1/2003 Audrey Merten 
DVR-13813 Alternate Receipt for DVR Services English DVR 2/8/2008 Audrey Merten 
DVR-13814 Rent or Security Deposit Receipt English DVR 11/1/2003 Audrey Merten 
DVR-13822 State Plan Waiver Request English DVR 6/1/2003 Audrey Merten 
DVR-13861-E Transportation Stipend English DVR 1/1/2009 Audrey Merten 
DVR-13907-E Prorate Authorization Letter English DVR 9/27/2004 Audrey Merten 
DVR-14156-E Subpoena English DVR 12/10/2003 Audrey Merten 
DVR-14157 Witness Fee Expense Reimbursement English DVR 2/8/2008 Audrey Merten 
DVR-14162-E IPE Contact/Off Waiting List Letter English DVR 3/2/2006 Audrey Merten 
DVR-14162-E-H IPE Contact/Off Waiting List Letter Hmong DVR 3/2/2006 Audrey Merten 
DVR-14162-E-S IPE Contact/Off Waiting List Letter (Spanish) Spanish DVR 3/2/2006 Audrey Merten 
DVR-14163-E OOS Referral/Eligibility Letter English DVR 10/22/2008 Audrey Merten 
DVR-14163-E-H OOS Referral/Eligibility Letter Hmong DVR 10/22/2008 Audrey Merten 
DVR-14163-E-S OOS Referral/Eligibility Letter Spanish DVR 10/22/2008 Audrey Merten 
DVR-14187-E Stipend Collection Letter English DVR 6/21/2005 Audrey Merten 
DVR-14396-E Business Enterprise Program Employment Credit Check Release English DVR 7/1/2004 Audrey Merten 
DVR-14662-E Training Grant Letter English DVR 4/16/2009 Audrey Merten 
DVR-14662-E-S Training Grant Letter Spanish DVR 4/16/2009 Audrey Merten 
DVR-14672-E Training Grant Information Form/Calculator English DVR 5/12/2009 Audrey Merten 
DVR-14726-E Invoice Resolution English DVR 5/12/2005 Audrey Merten 
DVR-14918-E Exception Request/Process English DVR 6/16/2008 Audrey Merten 
DVR-15763 Tutor log (Receipt) English DVR 8/7/2007 Audrey Merten 
DVR-16187-E Monthly Employment Report English DVR 2/7/2008 Audrey Merten 
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