Private Vocational Rehabilitation Specialist Certification Application

Document Number: WKC-10042

Description: This application is filed by a Private Vocational Specialist to provide private sector rehabilitation services.

Comments: This form is not fill-enabled. It can be printed and completed by hand.

Content Contact: Lynn Weinberger

Document Attachment: WKC-10042 (pdf/19 KB)

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