California Department of Rehabilitation Forms
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Form DR383 "Supported Employment (Se) - Job Placement Information" - California
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76 votes
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Form DR108 "Authorized Representative" - California
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70 votes
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Form DR107 "Request for Mediation and/Or Fair Hearing" - California
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32 votes
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480 KB
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Sample Form DR381 "Supported Employment - Job Placement Parameters" - California
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61 votes
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Form DR382 "Supported Employment - Placement Services Progress Report" - California
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30 votes
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Sample Form DR387 "Supported Employment - Notice of Transition to Extended Services" - California
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105 votes
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25 KB
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Sample Form DR386 "Invoice Discrepancy Notice - Sep/Wap" - California
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81 votes
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27 KB
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Form DR135 "Formal Complaint of Discrimination" - California
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72 votes
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Form CDPH8668 "Medical Waste Transponder Annual Verification" - California
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69 votes
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192 KB
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Form DR397A "Career Counseling and Information and Referral Form a - Verification" - California
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71 votes
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Form DR397B "Career Counseling and Information and Referral Form B - Refusal" - California
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39 votes
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Formulario DR397B "Informacion, Asesoria Vocacional Y Remisiones Formulario B - Rechazo" - California (Spanish)
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45 votes
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45 KB
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Formulario DR397A "Informacion, Asesoria Vocacional Y Remisiones Formulario a - Verificacion" - California (Spanish)
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100 votes
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Form DR385C "Supported Employment (Se) - Group - Invoice Summary" - California
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39 votes
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Form DR385A "Supported Employment - Individual - Invoice Summary" - California
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36 votes
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Form DR384A "Supported Employment - Proposed Plan to Improve Performance" - California
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62 votes
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311 KB
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"Formulario De Reclamo De Acceso Al Idioma" - California (Spanish)
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6 votes
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197 KB
3 pages
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"Language Access Complaint Form" - California (Tagalog)
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10 votes
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196 KB
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"Language Access Complaint Form" - California (Armenian)
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(4.3 / 5)
20 votes
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260 KB
3 pages
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![Form DR383 "Supported Employment (Se) - Job Placement Information" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777620/form-dr-383-supported-employment-se-job-placement-information-california.png "Form DR383 "Supported Employment (Se) - Job Placement Information" - California")
![Form DR108 "Authorized Representative" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777598/form-dr-108-authorized-representative-california.png "Form DR108 "Authorized Representative" - California")
![Form DR107 "Request for Mediation and/Or Fair Hearing" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777599/form-dr-107-request-mediation-and-or-fair-hearing-california.png "Form DR107 "Request for Mediation and/Or Fair Hearing" - California")
![Sample Form DR381 "Supported Employment - Job Placement Parameters" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777597/form-dr-381-supported-employment-job-placement-parameters-california.png "Sample Form DR381 "Supported Employment - Job Placement Parameters" - California")
![Form DR382 "Supported Employment - Placement Services Progress Report" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777600/form-dr-382-supported-employment-placement-services-progress-report-california.png "Form DR382 "Supported Employment - Placement Services Progress Report" - California")
![Sample Form DR387 "Supported Employment - Notice of Transition to Extended Services" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777603/form-dr-387-supported-employment-notice-transition-to-extended-services-california.png "Sample Form DR387 "Supported Employment - Notice of Transition to Extended Services" - California")
![Sample Form DR386 "Invoice Discrepancy Notice - Sep/Wap" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777606/form-dr-386-invoice-discrepancy-notice-sep-wap-california.png "Sample Form DR386 "Invoice Discrepancy Notice - Sep/Wap" - California")
![Form DR135 "Formal Complaint of Discrimination" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777592/form-dr-135-formal-complaint-discrimination-california.png "Form DR135 "Formal Complaint of Discrimination" - California")
![Form CDPH8668 "Medical Waste Transponder Annual Verification" - California](https://data.templateroller.com/pdf_docs_html/1777/17771/1777162/form-cdph-8668-medical-waste-transponder-annual-verification-california.png "Form CDPH8668 "Medical Waste Transponder Annual Verification" - California")
![Form DR397A "Career Counseling and Information and Referral Form a - Verification" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777563/form-dr-397a-career-counseling-and-information-and-referral-form-a-verification-california.png "Form DR397A "Career Counseling and Information and Referral Form a - Verification" - California")
![Form DR397B "Career Counseling and Information and Referral Form B - Refusal" - California](https://data.templateroller.com/pdf_docs_html/1777/17775/1777565/form-dr-397b-career-counseling-and-information-and-referral-form-b-refusal-california.png "Form DR397B "Career Counseling and Information and Referral Form B - Refusal" - California")
![Formulario DR397B "Informacion, Asesoria Vocacional Y Remisiones Formulario B - Rechazo" - California (Spanish)](https://data.templateroller.com/pdf_docs_html/1777/17775/1777564/form-dr-397b-informacion-asesoria-vocacional-y-remisiones-formulario-b-rechazo-california.png "Formulario DR397B "Informacion, Asesoria Vocacional Y Remisiones Formulario B - Rechazo" - California (Spanish)")
![Formulario DR397A "Informacion, Asesoria Vocacional Y Remisiones Formulario a - Verificacion" - California (Spanish)](https://data.templateroller.com/pdf_docs_html/1777/17775/1777573/form-dr-397a-informacion-asesoria-vocacional-y-remisiones-formulario-a-verificacion-california.png "Formulario DR397A "Informacion, Asesoria Vocacional Y Remisiones Formulario a - Verificacion" - California (Spanish)")
![Form DR385C "Supported Employment (Se) - Group - Invoice Summary" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777612/form-dr-385c-supported-employment-se-group-invoice-summary-california.png "Form DR385C "Supported Employment (Se) - Group - Invoice Summary" - California")
![Form DR385A "Supported Employment - Individual - Invoice Summary" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777610/form-dr-385a-supported-employment-individual-invoice-summary-california.png "Form DR385A "Supported Employment - Individual - Invoice Summary" - California")
![Form DR384A "Supported Employment - Proposed Plan to Improve Performance" - California](https://data.templateroller.com/pdf_docs_html/1777/17776/1777614/form-dr-384a-supported-employment-proposed-plan-to-improve-performance-california.png "Form DR384A "Supported Employment - Proposed Plan to Improve Performance" - California")
!["Formulario De Reclamo De Acceso Al Idioma" - California (Spanish)](https://data.templateroller.com/pdf_docs_html/1777/17775/1777594/formulario-de-reclamo-de-acceso-al-idioma-california.png ""Formulario De Reclamo De Acceso Al Idioma" - California (Spanish)")
!["Language Access Complaint Form" - California (Tagalog)](https://data.templateroller.com/pdf_docs_html/1777/17775/1777596/language-access-complaint-form-california.png ""Language Access Complaint Form" - California (Tagalog)")
!["Language Access Complaint Form" - California (Armenian)](https://data.templateroller.com/pdf_docs_html/1777/17776/1777602/language-access-complaint-form-california.png ""Language Access Complaint Form" - California (Armenian)")
