NL 00720: Manual Adjustment, Credit and Award Process (MADCAP) Beneficiary Notice Print Program
BASIC (05-11)
VRN001 VOCATIONAL REHABILITATION SERVICES REQUIRED (J11)
(System Generated)
Caption: Your Responsibilities
A state vocational rehabilitation agency may contact you. This agency provides counseling, training and other services that may help (1) to return to work. If they offer (2) any services, (3) must accept the services to keep getting disability benefits. This is true unless we decide (4) a good reason for not accepting.
If this agency has not contacted you yet, and you feel that (5) (6) these services, you may contact the nearest state vocational rehabilitation office.
Fill-in values:
Fill-in (1)
Choice 1: Full Name
Choice 2: you
Fill-in (2)
Choice 1: you
Choice 2: them
Choice 3: him
Choice 4: her
Fill-in (3)
Choice 1: you
Choice 2: they
Choice 3: he
Choice 4: she
Fill-in (4)
Choice 1: has
Choice 2: have
Fill-in (5)
Choice 1: you
Choice 2: they
Choice 3: he
Choice 4: she
Fill-in (6)
Choice 1: need
Choice 2: needs