DVR Eligibility Worksheet/Determination Help

Answer the nine yes or no questions on this form and then select the OK button for a preliminary determination as to whether you may be eligible for DVR services. All the questions are initially answered No. To change the answer to Yes, click the Yes button.

The Potential Eligibility Results you receive do not guarantee that you will or will not be eligible for services. No matter the results, you can still apply for services.

You can click on the "Skip" button and go directly to Wisconsin's DVR On-Line Application to apply for VR services.