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Customized Employment Discovery Profile Report

Document Number:  DVR-18010-E

Description:  This form is to be completed by DVR Service Providers to report on customized employment discovery profile services authorized by DVR.

Comments:  Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).

Content Contact:  DVR Forms

Document Attachments:

DVR-18010-E (Electronic Version - pdf/290 KB)

DVR-18010-E (Electronic Version - Word/60 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.