Thank you for your interest in applying for the services offered by the State of Nevada, Bureau of Vocational Rehabilitation or Bureau of Services to Persons Who are Blind or Visually Impaired.
If you need assistance in filling out this form, please call (702) 486-0388 in Southern Nevada; (775) 823-8112 in Northern Nevada; or TTY number at (775) 687-5353. Otherwise, please proceed in completing the form.
After you complete this form an application will be emailed to you at the email address you provide on this form.
Please note: the email containing the application will be from a DocuSign email address, providing the opportunity to complete and sign your application digitally from your computer, tablet or smart phone.
Vocational Rehabilitation Form
Request for OTP
We have added a one - time password authentication (a single-use disposable password) to submit a Public Record Request Form. *
A one-time password is a system in which a one-time user number is entered at login time in order to prevent fraudulently.
Please enter valid email address to send 'One Time Password'
A One Time Passcode has been sent to to submit Public record request online form reference number :
Please enter OTP below to verify your Email address. If you cannot see the email from "email@example.com" in your inbox, make sure to check your SPAM folder.