Vendors Applications, Forms & Resources

Important Announcement!
New Background Screening Requirement for Certain Vendors

Applications

VR Standard Vendor Application (RTF)

Group Medical Vendor Application (RTF)
Healthcare organizations seeking registration for the organization and not for individuals of the organization.

Group Sign Language Interpreter Application (RTF)
Sign Language Interpreter organizations seeking registration for the organization and not for individuals of the organization.

On-the-Job Training Application for Vendors (RTF)
Vendors seeking registration as an employer to provide On-the-Job Training

Rehabilitation Technology Application and Manual (Word)
Vendors seeking registration to provide rehabilitation technology services and products

Vocational Evaluation Providers (RTF)
Vendors seeking registration to perform Vocational Evaluations

Employment Services Contractors (RTF)
Employment Services, Supported Employment and/or On-The-Job Training Instruction and Application Package

Certified Business Technical Assistance and Consultation Provider (RTF)
Vendors seeking certification to provide self-employment services.

Personal Care Attendant Application (RTF)
Vendors seeking registration to provide Personal Care Assistant services

Tutor Application (RTF)
Vendors seeking registration to provide tutorial services

Employment Network Providers (RTF)
Employment Networks seeking registration in order to obtain a Memorandum of Agreement with Vocational Rehabilitation.

Work Incentives Planning and Assistance (WIPA) Service Provider Application (RTF)
Vendors seeking registration to provide work incentives planning and assistance services to SSA beneficiaries

Transportation Provider
Vendors seeking registration to provide Transportation services

Aircraft Pilot or Aircraft Dispatcher Training School Provider
Vendors seeking registration to provide Aircraft Pilot or Aircraft Dispatcher Training School registration

Other Vendor Forms & Resources

Provider Handbook (RTF)

Vendor Qualifications Manual (PDF)

Vendor Information Update Request Form (RTF)

On-the-Job Training Brochure (PDF)
On-the-Job Training Brochure (RTF)
On-the-Job Training Fact Sheet for Customers (PDF)
On-the-Job Training Fact Sheet for Customers (RTF)

Psychological Data Sheet (RTF)

Hospital Services Reimbursement Form (RTF)

Interpreter Services Manual (RTF)
Manual on interpreter services for vendors who work with individuals who are deaf or hard of hearing

VR Medical Provider Presentation (PowerPoint)