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Rehabilitation Division

Forms

The Department of Employment, Training & Rehabilitation’s (DETR) Bureau of Vocational Rehabilitation is a state and federally funded program designed to help people with disabilities become employed and to help those already employed perform more successfully through training, counseling and other support methods.

BEN Equipment Maintenance Log

BEN Health Enrollment Form 

BEN Health Insurance Form

BEN Loan Application 

BEN Loan Application Emergency

BEN Request for Prior Approval of Expenses

BEN Request to Purchase

BEN Site Daily Throw Log

Profit and Loss Instruction Guide

State Business License Application

Vendor Registration Form

NV Relay 711 or 800-326-6868
TTY 775-687-5353
An equal opportunity employer/program.
Auxiliary aids and services available on request by individuals with disabilities