ࡱ                >  	               }                  z  {  |     #`	                  bjbjmm                  	 <                                                                                                                              0      0      0  8    1  $  $2  l          2  3  F  9      9      9      9      ;    @    C                                               h    T                              F                      ;      ;      F      F                                9              9  4  :     K      K      K      F  X         9            9                    K                                                      F                    K      K  j  s                                                                              9      3      Vkj        0      F  X   /  2           G  d  P  0         a    n      CG    n  d                                                                                 n                      (  DE  0   tE  "   K      E     E                                     DE      DE      DE                                                  OK  X                                   DE      DE      DE            F      F      F      F                            !  D&  
                    D&                                                            :                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           F A M I L Y   S U P P O R T   D I V I S I O N  R E H A B I L I T A T I O N   S E R V I C E S   F O R   T H E   B L I N D  I N D E P E N D E N T   L I V I N G   R E H A B I L I T A T I O N   P R O G R A M  I L R - 3 0 0    P a g e   1   o f   2        F O R M C H E C K B O X     C S       F O R M C H E C K B O X     A D U L T   P A R T   1     C O M P L E T E   A T   R E F E R R A L     S O C I A L   S E C U R I T Y   #     F O R M T E X T            C A S E L O A D   #     F O R M T E X T            C A S E   #     F O R M T E X T             N A M E   ( L a s t ,   F i r s t ,   M I )     F O R M T E X T             A D D R E S S   ( S t r e e t   o r   R R )     F O R M T E X T             C I T Y     F O R M T E X T            S T A T E     F O R M T E X T     M O   Z I P   C O D E     F O R M T E X T             T E L E P H O N E     F O R M T E X T            C O U N T Y   N A M E   &   #     F O R M T E X T             D A T E   O F   B I R T H         F O R M T E X T            S E X       F O R M C H E C K B O X     F e m a l e     F O R M C H E C K B O X     M a l e  R E F E R R A L   D A T E     F O R M T E X T              ( M O / D A Y /   Y E A R )     ( M O / D A Y /   Y E A R )   R E F E R R A L   S O U R C E      F O R M C H E C K B O X     S E L F     F O R M C H E C K B O X     F A M I L Y   O R   F R I E N D     F O R M C H E C K B O X     P U B L I C   S C H O O L     F O R M C H E C K B O X     E Y E   S P E C I A L I S T     F O R M C H E C K B O X     P H Y S I C I A N ,   H O S P I T A L   O R   M E D I C A L   C L I N I C     F O R M C H E C K B O X     S O C I A L   S E R V I C E   A G E N C Y      F O R M C H E C K B O X     O T H E R   ( S P E C I F Y )     F O R M T E X T                P A R T   I I     C O M P L E T E   A T   E L I G I B I L I T Y   R A C E      F ORMCHECKBOX White FORMCHECKBOX Black or African American FORMCHECKBOX American Indian or Alaskan Native FORMCHECKBOX Asian FORMCHECKBOX Native Hawaiian or Other Pacific Islander FORMCHECKBOX Hispanic or LatinoVISUAL DISABILITY FORMCHECKBOX Totally Blind (LP only or NLP) FORMCHECKBOX Legally Blind (excluding total blindness) - Reported Snellen Acuity FORMTEXT                                                                                                                             F O R M C H E C K B O X     P r o g r e s s i v e   C o n d i t i o n   2 0 / 7 0   o r   w o r s e   c o r r e c t e d   b i l a t e r a l   a c u i t y - R e p o r t e d   S n e l l e n   A c u i t y     F O R M T E X T             M A J O R   C A U S E   O F   V I S U A L   I M P A I R M E N T S      F O R M C H E C K B O X     M a c u l a r   D e g e n e r a t i o n     F O R M C H E C K B O X     D i a b e t i c   R e t i n o p a t h y     F O R M C H E C K B O X     G l a u c o m a     F O R M C H E C K B O X     C a t a r a c t s     F O R M C H E C K B O X     O t h e r      D e s c r i b e     F O R M T E X T             N O N - V I S U A L   I M P A I R M E N T S   /   C O N D I T I O N S   A T   T I M E   O F   I N T A K E      F O R M C H E C K B O X     H e a r i n g   I m p a i r m e n t     F O R M C H E C K B O X     M e n t a l   I m p a i r m e n t      p s y c h o s o c i a l   i m p a i r m e n t s   ( i n t e r personal and behavioral impairments, difficulty coping, Alzheimer's and other mental impairments) FORMCHECKBOX Cognitive Impairment (impairments involving learning, thinking, processing information and concentration) FORMCHECKBOX Cancer FORMCHECKBOX Cardiac and other conditions of the circulatory system FORMCHECKBOX Diabetes Mellitus FORMCHECKBOX End Stage Renal Disease and Genito-urinary system FORMCHECKBOX Musculoskeletal (arthritis, rheumatism, amputations, fractures/injuries which resulted in permanent loss/impairment of limb function) FORMCHECKBOX Neurological impairments/disorders due to:  stroke (CVA) with resulting paralysis or weakness, peripheral or diabetic neuropathy, other conditions affecting the central nervous system (including Parkinson's disease, seizure disorders, cerebral palsy, multiple sclerosis, etc.) FORMCHECKBOX Respiratory or lung conditions FORMCHECKBOX Other  Describe FORMTEXT                                                                          N A M E   ( L a s t ,   F i r s t ,   M I )     F O R M T E X T            I L R - 3 0 0  P a g e   2   o f   2     C A S E   #     F O R M T E X T             P A R T   I I I    C O M P L E T E   G O A L S   P L A N N E D   W H E N   M O V I N G   C A S E   F R O M   S T A T U S   1 0   T O   S E R V I C E   S T A T U S   A N D   G O A L S   M E T   W H E N   C L O S I N G   I n d i c a t e   Y   o r   N   I n d i c a t e   Y   o r   N    P L A N  M E T  G O A L S  P L A N  M E T  G O A L S      F O R M T E X T               F O R M T E X T            S e l f   A d v o c a c y / S e l f - E m p o w e r m e n t     F O R M T E X T               F O R M T E X T            S e l f - c a r e      F O R M T E X T               F O R M T E X T            C o m m u n i c a t i o n     F O R M T E X T               F O R M T E X T            I n f o r m a t i o n   A                        	  	  	  йk`M6                                       ,j    hf h 5CJ OJ QJ U^J aJ  $h~ h 5B*OJ QJ ^J ph     h 5OJ QJ ^J ,h h 5B*CJ OJ QJ ^J aJ ph     #h h 5CJ OJ QJ ^J aJ  hn h CJ OJ QJ ^J aJ  &h 5B*CJ OJ QJ ^J aJ ph     ,hn h 5B*CJ OJ QJ ^J aJ ph      h} h CJ OJ QJ ^J aJ  h~ h OJ QJ ^J  !j    h~ h OJ QJ U^J       4           	  	                                                                          M                                        kd  $$If   l 4h\ ip*%-            `                                          
t  y-                                                    4   4 
l a  p(                                yt>{R 	  $If   gd 	  $If   gdn   $$If   a$gd     b                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 	  	  .	  \	  ^	  	                                      Y            P                                                                                   	  $If   gd;   kd<  $$If   l 4P \ ipD%-                                                               
t  y-                                                    4   4 
l a  p(                                yt>{R 	  $If   gd 	  $If   gdn  	  "	  $	  &	  .	  0	  L	  N	  P	  \	  ^	  	  	  	  	  	  	  	  Ӽ핂ug\gLA                                         h, 5OJ QJ ^J j    h, 5OJ QJ U^J  h0 5OJ QJ ^J h~ h0 5OJ QJ ^J h~ h OJ QJ ^J  $h~ h 5B*OJ QJ ^J ph  h~ h OJ QJ ^J  2j  hf h 5CJ OJ QJ U^J aJ  ,j    hf h 5CJ OJ QJ U^J aJ  2j  hf h 5CJ OJ QJ U^J aJ  #hf h 5CJ OJ QJ ^J aJ  	  	  	  	  	  &
  4
  \
                                                                                                                                                                                                                                                                             	  $If   gd`pQ 	  $If   gd  S  kda  $$If   l P  -y-            	  
t  
         y-                4   4 
l a  p
         yt>{R  	  	  	  	  	  	  	  	   
  
  
  
  "
  $
  0
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  4
  6
  J
  L
  N
  X
  Z
  \
  ^
  
  ڷڡڷ~ڡhڷ[M                         h~ hUu\ 5OJ QJ ^J h~ hL, OJ QJ ^J  *jy  h, hiU 5OJ QJ U^J  h~ h0 OJ QJ ^J  *j  h, hiU 5OJ QJ U^J  h, 5OJ QJ ^J h0 5OJ QJ ^J h~ h0 5OJ QJ ^J )j    h, 5OJ QJ U^J mH nH uj    h, 5OJ QJ U^J  *j  h, hiU 5OJ QJ U^J \
  ^
  
  
  \            S            S                                                                                                                           	  $If   gd   kd  $$If   l ֈ 		$- 5
               @                                                                            
t  y-                                                                            4   4 
l a  yt>{R  
  
  
  
  
  
  
  
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  
  
  
  
  
  
    
            .  0  2  <  >  @  J  L  |㒠naKana *jr  h, hiU 5OJ QJ U^J  h~ hiH OJ QJ ^J  h~ hiH 5OJ QJ ^J *j  h, hiU 5OJ QJ U^J  h~ hUu\ 5OJ QJ ^J h~ hL, OJ QJ ^J  )j    h, 5OJ QJ U^J mH nH u*jH  h, hiU 5OJ QJ U^J  h, 5OJ QJ ^J j    h, 5OJ QJ U^J  h~ hUu\ OJ QJ ^J 
  
  
        @  L                                      H                                    ?               	  $If   gdiH W  kd  $$If   l 0 - X               !!          
t  y-                            4   4 
l a  yt>{R 	  $If   gd W  kdP  $$If   l 0 - X               !!            
t  y-                            4   4 
l a  yt>{R  L  N  b  d  f  j  l  n                          𱣓r]PB                                 h~ h<i 5OJ QJ ^J h~ h0 OJ QJ ^J  )j    h, 5OJ QJ U^J mH nH u*j  h, hiU 5OJ QJ U^J  h, 5OJ QJ ^J j    h, 5OJ QJ U^J  h~ hiH 5OJ QJ ^J h~ hiH OJ QJ ^J   hKss 5OJ QJ ^J mH nH u *j  hKss hiU 5OJ QJ U^J  hKss 5OJ QJ ^J j    hKss 5OJ QJ U^J L  n              .                                      S                                                                                        kd"  $$If   l ֈ %- 8                              +                 #                                	            
t  y-                                                                            4   4 
l a  yt>{R 	  $If   gd                           *  ,  .  0  P  R  f  h  j  t  v                  ڷڡڷ~ڡhڷڡRڬڡ          *jr  h, hiU 5OJ QJ U^J  *j  h, hiU 5OJ QJ U^J  h~ h<i OJ QJ ^J  *j  h, hiU 5OJ QJ U^J  h, 5OJ QJ ^J h<i 5OJ QJ ^J h~ h<i 5OJ QJ ^J )j    h, 5OJ QJ U^J mH nH uj    h, 5OJ QJ U^J  *jQ  h, hiU 5OJ QJ U^J .  0  P  x          "              y            p            d            p            p            p            [                                                      	  $If   gd   $$If   a$gd<i 	  $If   gd<i 	  $If   gd }  kd  $$If   l \ L-                x               	                 l            
t  y-                                                    4   4 
l a  yt>{R                             "  $  h  j            ڶڋ~~pcUK7 'j  h, hiU OJ QJ U^J h, OJ QJ ^J  j    h, OJ QJ U^J h~ h} OJ QJ ^J  h~ h} 5OJ QJ ^J h~ h<i OJ QJ ^J  )j    h, 5OJ QJ U^J mH nH u*j  h, hiU 5OJ QJ U^J  h, 5OJ QJ ^J h~ h<i 5OJ QJ ^J h<i 5OJ QJ ^J j    h, 5OJ QJ U^J  *j  h, hiU 5OJ QJ U^J "  $  &  D  F  ;            2            &            2                  $$If   a$gd3 	  $If   gd   kdP  $$If   l 4ֈ \# -               	                              T                $	                 ,	            
t  y-                                                                           4   4 
l a  p<                                        yt>{R  F  H  J  h  j                                      &                  kd  $$If   l 4F ֈ \# -                	                                T                 $	                 ,	              
t  y-                                                                           4   4 
l a  p<                                        yt>{R   $$If   a$gd F
 	  $If   gd  j          :  z    6                                                                                                                                                                                                                                                                        < $If   gdn   h< $If   ^hgdn D  kdP  $$If   l  - y-            
t  y-                4   4 
l a  yt>{R 	  $If   gd}                          8  :  <  X  Z  \  z  |                
  4  6  ̸̤̆r^P           h~ h}] 5OJ QJ ^J 'ja  hKss hiU OJ QJ U^J 'jW  hKss hiU OJ QJ U^J 'j  hKss hiU OJ QJ U^J h}] OJ QJ ^J  'j  hKss hiU OJ QJ U^J 'jI  hKss hiU OJ QJ U^J hKss OJ QJ ^J  j    hKss OJ QJ U^J h~ h}] OJ QJ ^J  j    h, OJ QJ U^J  6  8  z                                          (                    W  kd  $$If   l  0 - &               S!            
t  y-                            4   4 
l a  yt>{R 	  $If   gd   h$If   ^hgd} j  kd+  $$If   l F - &               
                 >              
t  y-                                        4   4 
l a  yt>{R  6  8  :  V  X  Z  x  z  |                      庬{fYH6              #hv hh; 5CJ OJ QJ ^J aJ  hv hh; CJ OJ QJ ^J aJ  h~ hUu\ OJ QJ ^J  )j    hKss 5OJ QJ U^J mH nH u*j  hKss hiU 5OJ QJ U^J  hKss 5OJ QJ ^J j    hKss 5OJ QJ U^J  h~ hUu\ 5OJ QJ ^J h~ hh; OJ QJ ^J  'j  h| h! OJ QJ U^J h| OJ QJ ^J  j    h| OJ QJ U^J h~ h0 OJ QJ ^J                                                               B            9                    	  $If   gdn  S  kd  $$If   l P  -y-            	  
t  
         y-                4   4 
l a  p
         yt>{R 	  $If   gd; W  kd  $$If   l  0 - ?               :              
t  y-                            4   4 
l a  yt>{R 	  $If   gd                              #  $  %  ?  @  N  ƹrdZFddZ                                         'jo  hKss hiU OJ QJ U^J hKss OJ QJ ^J  j    hKss OJ QJ U^J 'j  h6>- hiU OJ QJ U^J h6>- OJ QJ ^J  j    h6>- OJ QJ U^J h~ hn OJ QJ ^J  h~ hn 5OJ QJ ^J h~ hUu\ OJ QJ ^J  '*h} hUu\ 5B*OJ QJ ^J ph !*h} 5B*OJ QJ ^J ph '*h~ hUu\ 5B*OJ QJ ^J ph        ?  r                                                                                              N                            W  kd  $$If   l 0 -                              
t  y-                            4   4 
l a  yt>{R 	  $If   gd>{R   h$If   ^hgd>{R D  kdD  $$If   l P  -y-            
t  y-                4   4 
l a  yt>{R  N  O  P  r  s                                              -  .  <  ƲƞƊ|naMa     'j  hKss hiU OJ QJ U^J h~ hUu\ OJ QJ ^J  h~ hUu\ 5OJ QJ ^J h~ hn 5OJ QJ ^J 'j  hKss hiU OJ QJ U^J 'j  hKss hiU OJ QJ U^J 'j?  hKss hiU OJ QJ U^J hKss OJ QJ ^J  h~ hn OJ QJ ^J  j    hKss OJ QJ U^J 'jG  hKss hiU OJ QJ U^J        ,  -                                          a            Q            E                                              $$If   a$gdL,   $h$If   ^ha$gdL, D  kd  $$If   l P  - y-            
t  y-                4   4 
l a  yt>{R   h$If   ^hgd} D  kdV  $$If   l u  - y-            
t  y-                4   4 
l a  yt>{R 	  $If   gd>  <  =  >  h  j             
        .  0  2  \  ^                    ݼݔݼrhTrFr j    h3 OJ QJ U^J 'j  h(H hiU OJ QJ U^J h(H OJ QJ ^J  j    h(H OJ QJ U^J 'je  hKss hiU OJ QJ U^J &j    hKss OJ QJ U^J mH nH u 'jp  hKss hiU OJ QJ U^J hKss OJ QJ ^J  hL, OJ QJ ^J  h~ hL, OJ QJ ^J  j    hKss OJ QJ U^J 'j^  hKss hiU OJ QJ U^J        
    P                                      ;            2                       	  $If   gd=K W  kd)  $$If   l Y 0 r'- '                           
t  y-                            4   4 
l a  yt3 	  $If   gd3   h$If   ^hgdL, W  kd  $$If   l  0 - T               %            
t  y-                            4   4 
l a  yt>{R      N  R  T  p  r  t                  
           <  >  @  T  V  r  ʟʟwʟmYʟ                                            'jQ h(H hiU OJ QJ U^J hv OJ QJ ^J  'j h(H hiU OJ QJ U^J 'j  h(H hiU OJ QJ U^J h~ hv OJ QJ ^J  'j{  h(H hiU OJ QJ U^J h(H OJ QJ ^J  j    h(H OJ QJ U^J h~ hUu\ OJ QJ ^J  h~ hUu\ 5OJ QJ ^J h~ hL, OJ QJ ^J P  R        T                                                                                                                                                                                                                                                                                                   < $If   gdv   h< $If   ^hgdv D  kd  $$If   l   - y-            
t  y-                4   4 
l a  yt>{R  r  t  v                  ,  .  0  2  N  P  R  x  z    |naWC6W    h6 h} OJ QJ ^J  'jM h(H hiU OJ QJ U^J h(H OJ QJ ^J  h6 hUu\ OJ QJ ^J  h6 h}] 5OJ QJ ^J h6 hUu\ 5OJ QJ ^J )j    h(H 5OJ QJ U^J mH nH u*j h(H hiU 5OJ QJ U^J  h(H 5OJ QJ ^J j    h(H 5OJ QJ U^J  h~ hv OJ QJ ^J  j    h(H OJ QJ U^J 'j h(H hiU OJ QJ U^J      .  0  x              y            5            $              $If   ^`gd>{R D  kd $$If   l   - y-            
t  y-                4   4 
l a  yt>{R 	  $If   gd>{R }  kd $$If   l \ \-                                 $	                             
t  y-                                                    4   4 
l a  yt>{R                  b  c  d  r  s  t  u  }                                  ӹӹݯƑݯ}oeQ   'je hh> hiU OJ QJ U^J hh> OJ QJ ^J  j    hh> OJ QJ U^J 'j h(H hiU OJ QJ U^J hv OJ QJ ^J  'j
 h(H hiU OJ QJ U^J h(H OJ QJ ^J  h6 h OJ QJ ^J  h6 h} OJ QJ ^J  h OJ QJ ^J  j    h(H OJ QJ U^J 'j h(H hiU OJ QJ U^J  x  c      ?  b    <  c                                                                                                                                                                                                                                                       	  $If   gd 	  $If   gd>{R D  kd $$If   l , - y-            
t  y-                4   4 
l a  yt>{R   $If   ^`gd>{R      ?  @  N  O  P  b  c  q  r  s            <  =  K  L  M      c  d  r  s  t            ڲڞڊl^                   h6 h} 5OJ QJ ^J 'j hh> hiU OJ QJ U^J hv OJ QJ ^J  'j- hh> hiU OJ QJ U^J 'j hh> hiU OJ QJ U^J 'jm hh> hiU OJ QJ U^J 'j hh> hiU OJ QJ U^J hh> OJ QJ ^J  h6 h} OJ QJ ^J  j    hh> OJ QJ U^J  !                   
              D  F  H  \  ^  `  j  l  ²|xmx_R<| *j# hh> hiU 5OJ QJ U^J  h~ h OJ QJ ^J  h~ h 5OJ QJ ^J h; h; CJ aJ  h;  )j    hh> 5OJ QJ U^J mH nH u*j hh> hiU 5OJ QJ U^J  hh> 5OJ QJ ^J j    hh> 5OJ QJ U^J  h6 h 5OJ QJ ^J h6 h OJ QJ ^J  j    hh> OJ QJ U^J 'j hh> hiU OJ QJ U^J        F  n  ~                                                    ~                                                                                                                                                                            $$If   a$gd 	  $If   gdO3z    j  kdD $$If   l hF 
!,- 
             !                            
t  y-                                        4   4 
l a  yt>{R  l  n  |  ~                                    ŷ{fYFY4#h!2 h 5CJ OJ QJ ^J aJ $h6 h 5B*OJ QJ ^J ph  h6 h OJ QJ ^J  )j    hh> 5OJ QJ U^J mH nH u*jL hh> hiU 5OJ QJ U^J  hh> 5OJ QJ ^J j    hh> 5OJ QJ U^J  h 5OJ QJ ^J h~ h 5OJ QJ ^J h6 h OJ QJ ^J  $h h 5B*OJ QJ ^J ph     h h 5OJ QJ ^J h~ h OJ QJ ^J                         w            w            w            w                                                                                                                                                                 	  $If   gdO3z  ~  kdA $$If   + 4P \ 
^&N-`
            `               
               [            
t  y-                                                    4   4 
+ a  yt3                      w            n                                                                                                                                                                                 	  $If   gd 	  $If   gdh;  ~  kd $$If   + 4 \ 
^ N- 
                              ;                             
t  y-                                                    4   4 
+ a  yt3                          }            q            ]            q                                                                                                               $$If   ]^a$gd   $$If   a$gd   $$If   ]a$gd  q  kd $$If   +  0 =N-h               (              	    
t                    y-                            4   4 
+ a  p                  yt3                   
           (  2  6  8  L  N  P  Z  \  ^  `  t  ޱџyaP                                     h& h CJ OJ QJ ^J aJ  .j    h6>- CJ OJ QJ U^J aJ mH nH u /j h6>- hiU CJ OJ QJ U^J aJ h6>- CJ OJ QJ ^J aJ  #j    h6>- CJ OJ QJ U^J aJ #h h 5CJ OJ QJ ^J aJ h6 h 5OJ QJ ^J h6 h OJ QJ ^J  #h!2 h 5CJ OJ QJ ^J aJ h 5CJ OJ QJ ^J aJ        
       (  4              v            v            v            v            v            v                                                                                                                               $$If   a$gd }  kd $$If   + \ NN-              /               q                            
t  y-                                                    4   4 
+ a  yt3  4  6  ^          (  \            S            S            J            J            J            A                   	  $If   gdO3z 	  $If   gd/W 	  $If   gd   kd $$If   + ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3  t  v  x                                      *  սլgO7O /jj$ h][` hiU CJ OJ QJ U^J aJ .j    h][` CJ OJ QJ U^J aJ mH nH u /j# h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ h6 h OJ QJ ^J   h& h CJ OJ QJ ^J aJ  .j    h6>- CJ OJ QJ U^J aJ mH nH u #j    h6>- CJ OJ QJ U^J aJ /j" h6>- hiU CJ OJ QJ U^J aJ  (  *  R  z        "~  \            S            S            J            J            J            A                   	  $If   gdO3z 	  $If   gd/W 	  $If   gd   kd% $$If   + @ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3  *  ,  @  B  D  N  P  R  T  h  j  l  v  x  z            ߆ygYAg                               /j' h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ h6 h OJ QJ ^J  /j& h6>- hiU CJ OJ QJ U^J aJ  h& h CJ OJ QJ ^J aJ  .j    h6>- CJ OJ QJ U^J aJ mH nH u /j"& h6>- hiU CJ OJ QJ U^J aJ h6>- CJ OJ QJ ^J aJ  #j    h6>- CJ OJ QJ U^J aJ                            ~  $~  &~  :~  <~  >~  H~  J~  L~  N~  b~  ַŒ~pX~@~~p              .j    h6>- CJ OJ QJ U^J aJ mH nH u /j* h6>- hiU CJ OJ QJ U^J aJ h6>- CJ OJ QJ ^J aJ  #j    h6>- CJ OJ QJ U^J aJ Uh6 h OJ QJ ^J  /j( h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ   h& h CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ .j    h][` CJ OJ QJ U^J aJ mH nH uc c e s s / T e c h n o l o g y      F O R M T E X T               F O R M T E X T            M o b i l i t y / T r a n s p o r t a t i o n     F O R M T E X T               F O R M T E X T            P e r s o n a l   R e s o u r c e   M a n a g e m e n t      F O R M T E X T               F O R M T E X T            C o m m u n i t y - B a s e d   L i v i n g     F O R M T E X T               F O R M T E X T            R e l o c a t i o n   f r o m   a   N u r s i n g   H o m e   o r   I n s t i t u t i o n   t o   C o m m u n i t y   B a s e d   L i v i n g      F O R M T E X T               F O R M T E X T            E d u c a t i o n a l   V o c a t i o n a l     F O R M T E X T               F O R M T E X T            C o m m u n i t y / S o c i a l   P a r t i c i p a t i o n      F O R M T E X T               F O R M T E X T            O t h e r   ( D e s c r i b e )     F O R M T E X T             P A R T   I V   C O M P L E T E   A T   C L O S U R E   ( A L O N G   W I T H   P A R T   I I I   -   G O A L S   M E T )   S E R V I C E S   P R O V I D E D      F O R M C H E C K B O X      A d v o c a c y / L e g a l   S e r v i c e s     F O R M C H E C K B O X      P e e r   C o u n s e l i n g   S e r v i c e s      F O R M C H E C K B O X      A s s i s t i v e   T e c h n o l o g y     F O R M C H E C K B O X      P e r s o n a l   A s s i s t a n c e   S e r v i c e s      F O R M C H E C K B O X      C h i l d r e n ' s   S e r v i c e s     F O R M C H E C K B O X      P h y s i c a l   R e s t o r a t i o n   S e r v i c e s      F O R M C H E C K B O X      C o m m u n i c a t i o n   S e r v i c e s     F O R M C H E C K B O X      P r e v e n t i v e   S e r v i c e s      F O R M C H E C K B O X      C o u n s e l i n g   a n d   R e l a t e d   S e r v i c e s     F O R M C H E C K B O X      P r o s t h e s e s ,   O r t h o t i c s   &   O t h e r   A p p l i a n c e s      F O R M C H E C K B O X      F a m i l y   S e r v i c e s     F O R M C H E C K B O X      R e c r e a t i o n a l   S e r v i c e s      F O R M C H E C K B O X      H o u s i n g ,   H o m e   M o d i f i c a t i o n s   &   S h e l t e r   S e r v i c e s     F O R M C H E C K B O X      R e h a b i l i t a t i o n   T e c h n o l o g y   S e r v i c e s      F O R M C H E C K B O X      I L   S k i l l s   T r a i n i n g   a n d   L i f e   S k i l l s   T r a i n i n g     F O R M C H E C K B O X      T h e r a p e u t i c   T r e a t m e n t      F O R M C H E C K B O X      I n f o r m a t i o n   a n d   R e f e r r a l   S e r v i c e s     F O R M C H E C K B O X      T r a n s p o r t a t i o n   S e r v i c e s      F O R M C H E C K B O X      M e n t a l   R e s t o r a t i o n   S e r v i c e s     F O R M C H E C K B O X      Y o u t h / T r a n s i t i o n   S e r v i c e s      F O R M C H E C K B O X      M o b i l i t y   T r a i n i n g     F O R M C H E C K B O X      O t h e r   S e r v i c e s   ( D e s c r i b e   b e l o w )      F O R M T E X T             R E A S O N   F O R   C L O S U R E      F O R M C H E C K B O X     C o m p l e t e d   a l l   G o a l s   S e t   - S t a t u s   2 6        F O R M C H E C K B O X     M o v e d      F O R M C H E C K B O X     W i t h d r a w n          F O R M C H E C K B O X     D i e d     F O R M C H E C K B O X     O t h e r       F O R M T E X T             T O T A L   C O S T   O F   S E R V I C E S     F O R M T E X T            C L O S U R E   S T A T U S     F O R M T E X T            C L O S U R E   D A T E     F O R M T E X T                          I L R 3 0 0   2 / 8 / 2 0 0 8                                                                                                     "~  $~  L~  t~  ~  ~  ~  .  \            S            S            J            J            J            A                   	  $If   gdO3z 	  $If   gd/W 	  $If   gd   kd) $$If   + @ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3  b~  d~  f~  p~  r~  t~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  0  սլgO7O /jb- h][` hiU CJ OJ QJ U^J aJ .j    h][` CJ OJ QJ U^J aJ mH nH u /jh, h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ h6 h OJ QJ ^J   h& h CJ OJ QJ ^J aJ  .j    h6>- CJ OJ QJ U^J aJ mH nH u #j    h6>- CJ OJ QJ U^J aJ /j+ h6>- hiU CJ OJ QJ U^J aJ  .  0  X            \            S            S            J            J            J            A                   	  $If   gdO3z 	  $If   gd/W 	  $If   gd   kdX. $$If   + @ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3  0  2  F  H  J  T  V  X  Z  n  p  r  |  ~              ߆ygYAg                               /j&1 h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ h6 h OJ QJ ^J  /jH0 h6>- hiU CJ OJ QJ U^J aJ  h& h CJ OJ QJ ^J aJ  .j    h6>- CJ OJ QJ U^J aJ mH nH u /jf/ h6>- hiU CJ OJ QJ U^J aJ h6>- CJ OJ QJ ^J aJ  #j    h6>- CJ OJ QJ U^J aJ                                        ַŒrZB                                      .j    h6>- CJ OJ QJ U^J aJ mH nH u /jl5 h6>- hiU CJ OJ QJ U^J aJ h6>- CJ OJ QJ ^J aJ  #j    h6>- CJ OJ QJ U^J aJ h6 h OJ QJ ^J  /j2 h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ   h& h CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ .j    h][` CJ OJ QJ U^J aJ mH nH u          6  ^    \            S            S            J            J            J            A                   	  $If   gdO3z 	  $If   gd/W 	  $If   gd   kd^4 $$If   + @ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3      ΀  Ѐ  Ҁ  ܀  ހ        $  &  (  2  4  6  8  L  힑qYAq                                         .j    h][` CJ OJ QJ U^J aJ mH nH u /j,7 h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  #j    h][` CJ OJ QJ U^J aJ h6 h OJ QJ ^J   h& h CJ OJ QJ ^J aJ  .j    h| CJ OJ QJ U^J aJ mH nH u /jN6 h| h! CJ OJ QJ U^J aJ h| CJ OJ QJ ^J aJ  #j    h| CJ OJ QJ U^J aJ  L  N  P  Z  \  ^              ā  Ɓ  ȁ  ܁  ށ                  սլՑyսլՑaսլWI                      j    h][` OJ QJ U^J h OJ QJ ^J  /j: h][` hiU CJ OJ QJ U^J aJ /j<: h][` hiU CJ OJ QJ U^J aJ h][` CJ OJ QJ ^J aJ  h6 h OJ QJ ^J   h& h CJ OJ QJ ^J aJ  .j    h][` CJ OJ QJ U^J aJ mH nH u #j    h][` CJ OJ QJ U^J aJ /j.8 h][` hiU CJ OJ QJ U^J aJ      Ɓ      8  \            S            S            J            J                                                                       	  $If   gd/W 	  $If   gd   kd.9 $$If   + @ֈ ?NN- j         o         /                                    
t  y-                                                                            4   4 
+ a  yt3    &  (  *  4  6  :        ܂  ނ           2  4  P  ԳxnZxM?5            h OJ QJ ^J  j    h OJ QJ U^J h h OJ QJ ^J  'j> h| h! OJ QJ U^J h| OJ QJ ^J  j    h| OJ QJ U^J h CJ OJ QJ ^J aJ  !h$A h B*OJ QJ ^J ph h$A h 5OJ QJ ^J h6 h OJ QJ ^J  &j    h][` OJ QJ U^J mH nH u j    h][` OJ QJ U^J 'j; h][` hiU OJ QJ U^J h][` OJ QJ ^J 8  :                  y            %                                S  kdp= $$If   +   ;- f-          	  
t  
         y-               4   4 
+ a  p
         yt3 	  $If   gd/W }  kdV< $$If   + @\ ?N- j         o                              
t  y-                                                    4   4 
+ a  yt3    ܂  ނ    2  V                                                                }                                                                                                                                                              
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd D  kd/> $$If   +   ;- f-            
t  y-               4   4 
+ a  yt3 	  $If   gd  P  R  T              ؃  ڃ        6  8  :  V  X  Z                    ´݌x´d݌P´                'jE h hiU OJ QJ U^J 'jD h][` hiU OJ QJ U^J 'j/C h hiU OJ QJ U^J h OJ QJ ^J  'jiB h][` hiU OJ QJ U^J h][` OJ QJ ^J  j    h][` OJ QJ U^J h CJ OJ QJ ^J aJ  h h OJ QJ ^J  j    h OJ QJ U^J 'j@ h hiU OJ QJ U^J        ؃    6              y            h            _            M                                                                               
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdyA $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  6  8  \                    y            h            _            M                                                                               
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdD $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3      
  8  \                y            h            _            M                                                                               
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdF $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3        8  :  V  X  Z                    
    8  <  `  b  d    ¸Ж݌x¸dSЖ݌                                           h h CJ OJ QJ ^J aJ  'jJ h hiU OJ QJ U^J 'jI h][` hiU OJ QJ U^J h][` OJ QJ ^J  h CJ OJ QJ ^J aJ  'jSH h hiU OJ QJ U^J h OJ QJ ^J  j    h OJ QJ U^J h h OJ QJ ^J  j    h][` OJ QJ U^J 'jG h][` hiU OJ QJ U^J            `              y            h            _            N                                                                                  
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdI $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  `  b      ʆ                y            h            _            N                                                                                  
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdK $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3            Ć  Ɔ  Ȇ              z  |                    b  d    ¸Ж݌x¸dЖ݌P¸                     'j;R h][` hiU OJ QJ U^J 'jP h hiU OJ QJ U^J 'jMO h][` hiU OJ QJ U^J h][` OJ QJ ^J  h CJ OJ QJ ^J aJ  'jM h hiU OJ QJ U^J h OJ QJ ^J  j    h OJ QJ U^J h h OJ QJ ^J  j    h][` OJ QJ U^J 'jL h][` hiU OJ QJ U^J        z                  y            h            _            N                                                                                  
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kd]N $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3      
  b                  y            h            _            M                                                                               
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdKQ $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3              ҈  Ԉ  ֈ      :  <  >  p  r  t        Ή  Љ        &  (  *  F  H  J  p  r  ݸݸݸ|ݸhݸT    'jUZ h hiU OJ QJ U^J 'jX h hiU OJ QJ U^J 'jW h hiU OJ QJ U^J 'jV h hiU OJ QJ U^J 'j	U h hiU OJ QJ U^J h OJ QJ ^J  h CJ OJ QJ ^J aJ  h h OJ QJ ^J  j    h OJ QJ U^J 'j]S h hiU OJ QJ U^J       ؈    @  p              y            h            _            M                                                                               
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdT $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  p  r    Ή    &              y            h            _            N                                                                                  
& F    $If   gd 	  $If   gdf    
& F    $If   gd 	  $If   gd }  kdV $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  &  (  L  p    Ԋ              y            g            ^            M                                                                                
& F    $If   gd 	  $If   gdf   
& F    $If   gd 	  $If   gd }  kdeY $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  r        Ԋ  ֊  ؊                 $  &  (  *  F  H  J  z  ǹԑǹvh^Jh=             hO7 h OJ QJ ^J  'j9_ hJ h! OJ QJ U^J hJ OJ QJ ^J  j    hJ OJ QJ U^J huZ h OJ QJ ^J  hO7 h 5OJ QJ ^J &j    h OJ QJ U^J mH nH u 'j\ h hiU OJ QJ U^J h CJ OJ QJ ^J aJ  h h OJ QJ ^J  j    h OJ QJ U^J 'j[ h hiU OJ QJ U^J h OJ QJ ^J Ԋ  ֊       &              y            5            ,                            	  $If   gd D  kd] $$If   +  A-l-          
t  y-               4   4 
+ a  yt3 	  $If   gd }  kd\ $$If   + \ v`A-                              v                k              
t  y-                                                   4   4 
+ a  yt3  &  (  &  V  ~      ֌                                                    H                                                    j  kdd $$If   + F )#A- T                                1
            
t  y-                                       4   4 
+ a  yt3 	  $If   gduZ D  kd^ $$If   +   A- l-          
t  y-               4   4 
+ a  yt3  z  |                    ދ                  $  &  (  D  F  H  R  T  V  X  l  ѽѩѕscX                      h 5OJ QJ ^J j    h 5OJ QJ U^J  'jb h hiU OJ QJ U^J hO7 h 5OJ QJ ^J 'j#b h hiU OJ QJ U^J 'ja h hiU OJ QJ U^J 'j` h hiU OJ QJ U^J h OJ QJ ^J  j    h OJ QJ U^J hO7 h OJ QJ ^J  h OJ QJ ^J l  n  p  z  |  ~        Č  ƌ  Ȍ  Ҍ  Ԍ  ֌      
            ڷo[N:[N  'j[f h hiU OJ QJ U^J h8 h OJ QJ ^J  &j    h OJ QJ U^J mH nH u 'je h hiU OJ QJ U^J h OJ QJ ^J  j    h OJ QJ U^J h. h 5OJ QJ ^J h CJ OJ QJ ^J aJ  hO7 h 5OJ QJ ^J )j    h 5OJ QJ U^J mH nH uj    h 5OJ QJ U^J  *jc h hiU 5OJ QJ U^J     6  ^  `  b  f  h  l                                      S            L            J            J            J                          x gd   kdg $$If   + ֈ &C)r'A- Q                            [	                              I                           
t  y-                                                                           4   4 
+ a  yt3 	  $If   gduZ    *  4  6  8  L  N  P  Z  \  ^  `  b  d  h  j  n  p  t  v  z            κئؙ~vrvrvrvrdSOr~                             h3   hc h3 CJ OJ QJ ^J aJ  h3 CJ OJ QJ ^J aJ  hK  j    hK Uh! hvl OJ QJ ^J  h CJ OJ QJ ^J aJ  hO7 h OJ QJ ^J  &j    h OJ QJ U^J mH nH u 'jg h hiU OJ QJ U^J h OJ QJ ^J  j    h OJ QJ U^J h 5OJ QJ ^J h. h 5OJ QJ ^J  l  n  r  t  x  z                                                                                                                                                                                                                                                                                                                                                                                                                                                                    x gd       	: &P 1h/R  :p>{R / =!"#$%                                                                                                                                                                                                                                                                                                                                                                                                                                                                          D d                    r r                                  V   
      
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G9$xH#4	L:̥ct]§r|ߧ?ǵSA_A& Wਰ.Na](:WxLHs;%DҙCG I8Hvw@tn$+l'	2[B+RC{^f>fn*n>mq縕m5Vlp+}m8ƶGp=[9a;XpsYk]Rf 1dFV[КHf[[8[d5'IskYY	2HCv23Y/umK9e-q.s!nBWэOb7)f&'Ʊ#X]ls5ĺ5ΫTv>=NSK遪t
xMʣc/0!*C9t>{} vAQ(9ix49MsAA8 .CCfpMD45ZR]kWsPw@EK!:OtRO\)ݕrS(=jAv/I'Tx)]AWIi@ xs
<OlO#>p#x7ߐL431k{^7|4bc..`|jUkƝn+2>McMLmx4mˏ2⧛M_kM|/6=B
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9Ra0Xo2N*s@~'hF3`t-F/^jlc\jWq3@#pqրq:8gb`\`:{hx	0/p^h(;A>YxCxWeHZhdͷ3|ˆ<g-P52ljsMRu
=EeUS {E]O=bR JmcRk$*3{94!ahMgFD+}ɘP1F=#^Vcz/[o黱_z+lv~;P5]#^mƜ]Ey>݉z;&w8j1lMԻ4nd$#EMtn:wLWrA.k[a6.Fw{}ĝj2m[j_7j}ϵcyYl~G~)S4>U3w+$(`%gX!4ɰJRª!^#p],\C?܏oGu62TE@{r;r8$\b"$kΓLrcrRc4^L,>lg:mϤZj$p__?JmoooNܯųmb=1F7AtnEGLѝGg"YXۿR߬k/uR?RtfoЭ׎EMQ?
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m7a-[o6gߢ̳STrui%,I$ ǯJ[0qAY8v+3?*vzҚNHL(ye/J)Js9Uw,vQ
ݔΗq1JeP(3]B[\C]N/C܋C.x:R9CxC}hq(D^%y.=-Cמ}-!O|ܳL>ɖ̔oyOTrc[2o˽{kr%L>J#Mle5kl}yH,-SV'k[,i@nnkSvTDj͑i$TI<7T
qW7\'7NƵ8YΉRKSKsM#\5ԑ`?o_+=C|Qp=>8.W|zjL
Bj0BD
\B AK+5a!RP3hwA|9L6M28pO 24 7NYIR29
iKy$6:Z$]@BGHq1NE/
]DJOޣd!=IX oRB H"YG4mP-
Ckp")q2&p&#TL8|:țȎx<:!K7'p)~Puεչ:V\[ksmuεչ:V\6צnQT'.!8d±"&ΠOq[#"^3x*2_5e8$. _g3_W*1P6`F;ZO*7oxR8+f	ebKa;UE#H,iEb6Q4U!^gp9 dbIƜd.k
掘4cRJ1O)]=</W{wE5E4g̕LL'+3Z \(DYeE9"A	A+HEDD䊐!PG;MBǟ9~7=M7mX`2yr^i]7>C7
C7nc:(E9˦AzLU} ԇ񽐃[xVGlǟ^Ok>za_gOY~vuOx͓򀖜Ҧ&&W{)+|zPw#r^Ql2Z|b+*d*F)$ES2128F'iz_Mw+h/t3şN&Ν-)|uH\Rgz)~_jp5JP\z-^ۨۦzL]D;搴!bdmPج'{gڳۋ7oF_dipk\4|0;nQal	;~йߜo"z9/!f4`<"FPĈoµ1q^0$s @@g.3<."WZ-Vs%;p[1#`N"ڠg?iL<
Pe1nɇhq b #
n2]"L&ylP#KLHPHށu

I6pI
ULz@,x:<*'<%cl
ПpMJGS'g`(8gWyDp)y4h="?n?**
z/XC %4PR̠I6M23q:HG´$;Lu%9' irT>O+NIѶJX+o[.ba˗=WdT9h{˪	l6]lKkcl]q8[4vD6J/V)6^ٯ.@#:%i C6̀\("(@Ω=tbRgj{1I	ʈ0
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dh:mEl-eO*g[i{.=( 0~Y0Eg+]$]޳ѷo[3f<.[PK\gɗ7Yfʫ,Ŗre<OjL_ovi
RDz޲DeY([IŖ\i-llFLe"0sT3;Ǚmb:S)f0klL|y[,s|q>X&Ƌ+fX<*F?x*az@p 42-p\hb'B+9mKzˇO:|Rm=d~_)Sֳ]k-68SkjkJVoéˠްH}X@q&SeIYSb ;axކE*08Nhgcfۅ^U!ȶ

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U<lNVa 2Z>TAzRjMˠ
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AiB=;ӄxM{O3hڽU1wY9_=ޅOO{7=Jr:;.<GXh;7;mg(vxW-θc8AwTlkSsĲ(.g7)HNNK.ΟQ?(3@91$$If     !v h5 555#v #v#v#v:V l 4h
t  0                                          y-  + +, ,5 555/      /	     /     p(                                yt>{R    D                                                                   C h e c k 1          C h i l d r e n ' s   S e r v i c e s   c a s e    C h i l d r e n ' s   S e r v i c e s   C a s e              D                                                                   C h e c k 2          A d u l t   I L   C a s e    A d u l t   I L   c a s e           #$$If     !v h5 555#v #v#v#v:V l 4P 
t  0                                          y-  + +, ,5 555/      /     p(                                yt>{R  $$If     !v h5 y-#v y-:V l P 	  
t  
         0                                          y-  , 5 y-/ 
     p
         yt>{R    D                                                                    T e x t 2            S O C I A L   S E C U R I T Y   N U M B E R    S O C I A L   S E C U R I T Y   N U M B E R              D                                                                    T e x t 1 2            C A S E L O A D    C A S E L O A D              D                                                                    T e x t 3            C A S E   N U M B E R    C A S E   N U M B E R           -$$If     !v h5 5
5@5555#v 5
#v@#v#v#v#v:V l 
t  0                                          y-  , 5 5
5@5555/      /     /     /     yt>{R   D                                                                    T e x t 1           % L A S T   N A M E ,   F I R S T   N A M E ,   M I D D L E   I N I T I A L   % L A S T   N A M E ,   F I R S T   N A M E ,   M I D D L E   I N I T I A L            $$If     !v h5 X5!!#v X#v!!:V l 
t  0                                          y-  , 5 X5!!/      /     yt>{R    D                                                                    T e x t 5            S T R E E T   A D D R E S S    S T R E E T   A D D R E S S            $$If     !v h5 X5!!#v X#v!!:V l 
t  0                                          y-  , 5 X5!!/      /     yt>{R    D                                                                    T e x t 6            C I T Y    C I T Y              D                                                                    T e x t 7    M O        M I S S O U R I    M I S S O U R I              D                                                                    T e x t 8            Z I P   C O D E    Z I P   C O D E           -$$If     !v h5 855+5#55	#v 8#v#v+#v##v#v	:V l 
t  0                                          y-  , 5 855+5#55	/      /     /     /     yt>{R    D                                                                    T e x t 1 5            T E L E P H O N E   N U M B E R    T E L E P H O N E   N U M B E R              D                                                                    T e x t 9            C O U N T Y   N A M E   A N D   N U M B E R    C O U N T Y   N A M E   A N D   N U M B E R            $$If     !v h5 5x5	5l#v #vx#v	#vl:V l 
t  0                                          y-  , 5 5x5	5l/      /     /     yt>{R    D                                                                    T e x t 1 0            D A T E   O F   B I R T H    D A T E   O F   B I R T H              D                                                                   C h e c k 6 2         
 S E X   F E M A L E   
 S E X   F E M A L E              D                                                                   C h e c k 6 3          S E X   M A L E    S E X   M A L E              D                                                                    T e x t 1 1            R E F E R R A L   D A T E    R E F E R R A L   D A T E           $$If     !v h5 5	55T5$	5,	#v #v	#v#vT#v$	#v,	:V l 4
t  0                                          y- + +++, ,,,5 5	55T5$	5,	/      /     /     p<                                        yt>{R u$$If     !v h5 5	55T5$	5,	#v #v	#v#vT#v$	#v,	:V l 4F 
t  0                                          y- + +++, 5 5	55T5$	5,	/      /     /     p<                                        yt>{R  $$If     !v h5 y-#v y-:V l 
t  0                                          y-  , 5 y-/ 
     yt>{R b  D                                                                   C h e c k 3 3         ; S E L E C T   O N E   O F   T H E   F O L L O W I N G   R E F E R R A L   S O U R C E S  
 S E L F   R E F E R R A L   ; S E L E C T   O N E   O F   T H E   F O L L O W I N G   R E F E R R A L   S O U R C E S     S E L F   R E F E R R A L              D                                                                   C h e c k 3 4          F A M I L Y   O R   F R I E N D    F A M I L Y   O R   F R I E N D              D                                                                   C h e c k 3 5          P U B L I C   S C H O O L    P U B L I C   S C H O O L              D                                                                   C h e c k 3 6          E Y E   S P E C I A L I S T    E Y E   S P E C I A L I S T           
  D                                                                   C h e c k 3 7         % P H Y S I C I A N ,   H O S P I T A L   O R   M E D I C A L   C L I N I C   % P H Y S I C I A N ,   H O S P I T A L   O R   M E D I C A L   C L I N I C              D                                                                   C h e c k 3 8          S O C I A L   S E R V I C E   A G E N C Y    S O C I A L   S E R V I C E   A G E N C Y            $$If     !v h5 &5
5>#v &#v
#v>:V l 
t  0                                          y-  , 5 &5
5>/      /     yt>{R "  D                                                                   C h e c k 3 2         + O T H E R   R E F E R R A L   S O U R C E   N O T   P R E V I O U S L Y   L I S T E D   + O T H E R   R E F E R R A L   S O U R C E   N O T   P R E V I O U S L Y   L I S T E D              D                                                                    T e x t 1 4           ! S P E C I F Y   T H E   O T H E R   R E F E R R A L   S O U R C E   ! S P E C I F Y   T H E   O T H E R   R E F E R R A L   S O U R C E            $$If     !v h5 &5S!#v &#vS!:V l  
t  0                                          y-  , 5 &5S!/      /     yt>{R  $$If     !v h5 ?5:#v ?#v::V l  
t  0                                          y-  , 5 ?5:/      /     yt>{R  $$If     !v h5 y-#v y-:V l P 	  
t  
         0                                          y-  , 5 y-/ 
     p
         yt>{R  $$If     !v h5 y-#v y-:V l P 
t  0                                          y-  , 5 y-/ 
     yt>{R   D                                                                   C h e c k 3         H P A R T   2   C O M P L E T E   A T   E L I G I B I L I T Y  
 S E L E C T   O N E   O F   T H E   F O L L O W I N G   R A C E S  
 W H I T E   H P A R T   2   C O M P L E T E   A T   E L I G I B I L I T Y     S E L E C T   O N E   O F   T H E   F O L L O W I N G   R A C E S     W H I T E              D                                                                   C h e c k 4          B L A C K   O R   A F R I C A N   A M E R I C A N    B L A C K   O R   A F R I C A N   A M E R I C A N              D                                                                   C h e c k 5         ! A M E R I C A N   I N D I A N   O R   A L A S K A N   N A T I V E   ! A M E R I C A N   I N D I A N   O R   A L A S K A N   N A T I V E              D                                                                   C h e c k 6          A S I A N    A S I A N             D                                                                   C h e c k 7         ) N A T I V E   H A W A I I A N   O R   O T H E R   P A C I F I C   I S L A N D E R   ) N A T I V E   H A W A I I A N   O R   O T H E R   P A C I F I C   I S L A N D E R              D                                                                   C h e c k 8          H I S P A N I C   O R   L A T I N O    H I S P A N I C   O R   L A T I N O            $$If     !v h5 5#v #v:V l 
t  0                                          y-  , 5 5/      /     yt>{R  $$If     !v h5 y-#v y-:V l u 
t  0                                          y-  , 5 y-/ 
     yt>{R   D                                                                   C h e c k 9         Y S E L E C T   T H E   V I S U A L   D I S A B I L I T Y  
 T O T A L L Y   B L I N D ,   L I G H T   P E R C E P T I O N   O N L Y   O R   N O   L I G H T   P E R C E P T I O N   Z S E L E C T   T H E   V I S U A L   D I S A B I L I T Y       T O T A L L Y   B L I N D ,   L I G H T   P E R C E P T I O N   O N L Y   O R   N O   L I G H T   P E R C E P T I O N            $$If     !v h5 y-#v y-:V l P 
t  0                                          y-  , 5 y-/ 
     yt>{R   D                                                                   C h e c k 1 0         ( L E G A L L Y   B L I N D ,   E X C L U D I N G   T O T A L   B L I N D N E S S   & L E G A L L Y   B L I N D ,   E X C L U D I N G   T O T A L L Y   B L I N D           :  D                                                                    T e x t 1 7           1 I F   L E G A L L Y   B L I N D   L I S T   T H E   R E P O R T E D   S N E L L E N   A C U I T Y   1 I F   L E G A L L Y   B L I N D   L I S T   T H E   R E P O R T E D   S N E L L E N   A C U I T Y            $$If     !v h5 T5%#v T#v%:V l  
t  0                                          y-  , 5 T5%/      /     yt>{R r  D                                                                   C h e c k 1 1         ? P R O G R E S S I V E   C O N D I T I O N   2 0 / 7 0   O R   W O R S E   C O R R E C T E D   B I L A T E R A L   A C U I T Y   ? P R O G R E S S I V E   C O N D I T I O N   2 0 / 7 0   O R   W O R S E   C O R R E C T E D   B I L A T E R A L   A C U I T Y           R  D                                                                    T e x t 4 3           5 I F   P R O G R E S S I V E   C O N D I T I O N   L I S T   R E P O R T E D   S N E L L E N   A C U I T Y   9 I F   P R O G R E S S I V E   C O N D I T I O N   L I S T   T H E   R E P O R T E D   S N E L L E N   A C U I T Y            $$If     !v h5 '5#v '#v:V l Y 
t  0                                          y-  , 5 '5/      /     yt3  $$If     !v h5 y-#v y-:V l  
t  0                                          y-  , 5 y-/ 
     yt>{R z  D                                                                   C h e c k 1 2         A S E L E C T   T H E   M A J O R   C A U S E   O F   V I S U A L   I M P A I R M E N T  
 M A C U L A R   D E G E N E R A T I O N   A S E L E C T   T H E   M A J O R   C A U S E   O F   V I S U A L   I M P A I R M E N T     M A C U L A R   D E G E N E R A T I O N              D                                                                   C h e c k 1 3          D I A B E T I C   R E T I N O P A T H Y    D I A B E T I C   R E T I N O P A T H Y              D                                                                   C h e c k 1 4          G L A U C O M A    G L A U C O M A              D                                                                   C h e c k 1 5         	 C A T A R A C T S   	 C A T A R A C T S              D                                                                   C h e c k 1 6          O T H E R   V I S U A L   I M P A I R M E N T    O T H E R   V I S U A L   I M P A I R M E N T             D                                                                    T e x t 1 3           ' I F   O T H E R ,   S P E C I F Y   T H E   V I S U A L   I M P A I R M E N T   ' I F   O T H E R ,   S P E C I F Y   T H E   V I S U A L   I M P A I R M E N T            $$If     !v h5 55$	5#v #v#v$	#v:V l 
t  0                                          y-  , 5 55$	5/      /     yt>{R  $$If     !v h5 y-#v y-:V l  
t  0                                          y-  , 5 y-/ 
     yt>{R   D                                                                   C h e c k 1 7         J S E L E C T   T H E   N O N - V I S U A L   I M P A I R M E N T S / C O N D I T I O N S   A T   I N T A K E  
 H E A R I N G   I M P A I R M E N T   J S E L E C T   T H E   N O N - V I S U A L   I M P A I R M E N T S / C O N D I T I O N S   A T   I N T A K E     H E A R I N G   I M P A I R M E N T           .  D                                                                   C h e c k 1 8         n M E N T A L   I M P A I R M E N T ,   P S Y C H O S O C I A L ,   I N T E R P E R S O N A L   O R   B E H A V I O R A L ,   C O P I N G ,   A L Z E H E I M E R S   A N D   O T H E R   M E N T A L   I M P A I R M E N T S   n M E N T A L   I M P A I R M E N T ,   P S Y C H O S O C I A L ,   I N T E R P E R S O N A L   O R   B E H A V I O R A L ,   C O P I N G ,   A L Z E H E I M E R S   A N D   O T H E R   M E N T A L   I M P A I R M E N T S             D                                                                   C h e c k 6 4         R C O G N I T I V E   I M P A I R M E N T ,   L E A R N I N G ,   T H I N K I N G ,   P R O C E S S I N G   I N F O R M A T I O N   A N D   C O N C E N T R A T I O N   R C O G N I T I V E   I M P A I R M E N T ,   L E A R N I N G ,   T H I N K I N G ,   P R O C E S S I N G   I N F O R M A T I O N   A N D   C O N C E N T R A T I O N              D                                                                   C h e c k 1 9          C A N C E R    C A N C E R           N  D                                                                   C h e c k 2 0         6 C A R D I A C   A N D   O T H E R   C O N D I T I O N S   O F   T H E   C I R C U L A T O R Y   S Y S T E M   6 C A R D I A C   A N D   O T H E R   C O N D I T I O N S   O F   T H E   C I R C U L A T O R Y   S Y S T E M              D                                                                   C h e c k 2 1          D I A B E T E S   M E L L I T U S    D I A B E T E S   M E L L I T U S           :  D                                                                   C h e c k 2 2         1 E N D   S T A G E   R E N A L   D I S E A S E   A N D   G E N I T O - U R I N A R Y   S Y S T E M   1 E N D   S T A G E   R E N A L   D I S E A S E   A N D   G E N I T O - U R I N A R Y   S Y S T E M             D                                                                   C h e c k 2 3          M U S C U L O S K E L E T A L ,   A R T H R I T I S ,   R H E U M A T I S M ,   A M P U T A T I O N S ,   F R A C T U R E S / I N J U R I E S   W H I C H   R E S U L T E D   I N   P E R M A N E N T   L O S T / I M P A I R M E N T   O F   L I M B   F U N C T I O N    M U S C U L O S K E L E T A L ,   A R T H R I T I S ,   R H E U M A T I S M ,   A M P U T A T I O N S ,   F R A C T U R E S / I N J U R I E S   W H I C H   R E S U L T E D   I N   P E R M A N E N T   L O S S / I M P A I R M E N T   O F   L I M B   F U N C T I O N             D                                                                   C h e c k 2 4          N E U R O L O G I C A L ,   S T R O K E   ( C V A )   W I T H   R E S U L T I N G   P A R A L Y S I S   O R   W E A K N E S S ,   P E R I P H E R A L   O R   D I A B E T I C   N E U R O P A T H Y ,   P A R K I N S O N S ,   S E I Z U R E S ,   C E R E B R A L   P A L S Y ,   M S   A N D   C E N T R A L   N E R V O U S   S Y S T E M   D I S O R D E R S    N E U R O L O G I C A L ,   S T R O K E   ( C V A )   W I T H   R E S U L T I N G   P A R A L Y S I S / W E A K N E S S ,   P E R I P H E R A L / D I A B E T I C   N E U R O P A T H Y ,   P A R K I N S O N S ,   S E I Z U R E S ,   C E R E B R A L   P A L S Y ,   M S , E T C              D                                                                   C h e c k 2 5          R E S P I R A T O R Y   O R   L U N G   C O N D I T I O N S    R E S P I R A T O R Y   O R   L U N G   C O N D I T I O N S            $$If     !v h5 y-#v y-:V l ,
t  0                                          y-  5 y-/ 
     yt>{R   D                                                                   C h e c k 2 6         ( O T H E R   N O N - V I S U A L   I M P A I R M E N T   O R   C O N D I T I O N   ( O T H E R   N O N - V I S U A L   I M P A I R M E N T   O R   C O N D I T I O N              D                                                                    T e x t 1 6            D E S C R I B E    D E S C R I B E            $$If     !v h5 
5!5 #v 
#v!#v :V l h
t  0                                          y-  , 5 
5!5 /      /     /     yt>{R   D                                                                               - P A G E   2  
 L A S T   N A M E ,   F I R S T   N A M E ,   M I D D L E   I N I T I A L   - P A G E   2     L A S T   N A M E ,   F I R S T   N A M E ,   M I D D L E   I N I T I A L           	$$If     !v h5 
55
5[#v 
#v#v
#v[:V + 4P 
t  0                                          y-  + +, 5 
55
5[/      /	     /     4 
+ yt3    D                                                                                C A S E   N U M B E R    C A S E   N U M B E R           	$$If     !v h5 
55;5#v 
#v#v;#v:V + 4 
t  0                                          y-  + +, 5 
55;5/      /     /     4 
+ yt3  $$If     !v h5 h5(#v h#v(:V +  	    
t                    0                                          y-  , ,5 h5(/      /     4 
+ p                  yt3  $$If     !v h5 5/5q5 #v #v/#vq#v :V + 
t  0                                          y-  , 5 5/5q5 /      /     /     4 
+ yt3 $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + 
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3   D                                                                   T e x t 1 9            P A R T   3   I L   P L A N  
 I N D I C A T E   Y   O R   N   F O R   P L A N   W H E N   M O V I N G   F R O M   S T A T U S   1 0   T O   S E R V I C E   S T A T U S  
 I N D I C A T E   Y   O R   N   F O R   M E T   W H E N   C L O S I N G  
 P L A N   S E L F - A D V O C A C Y / S E L F - E M P O W E R M E N T    P A R T   3   I L   P L A N     I N D I C A T E   Y   O R   N   F O R   P L A N   W H E N   M O V I N G   F R O M   1 0   T O   S E R V I C E   S T A T U S     I N D I C A T E   Y   O R   N   F O R   M E T   W H E N   C L O S I N G     P L A N   S E L F   A D V O C A C Y              D                                                                    T e x t 2 5           " M E T   S E L F - A D V O C A C Y / S E L F - E M P O W E R M E N T   " M E T   S E L F - A D V O C A C Y / S E L F - E M P O W E R M E N T              D                                                                   T e x t 3 1            P L A N   S E L F - C A R E    P L A N   S E L F - C A R E              D                                                                    T e x t 3 2            M E T   S E L F   C A R E    M E T   S E L F   C A R E           $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + @
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3    D                                                                    T e x t 2 0            P L A N   C O M M U N I C A T I O N    P L A N   C O M M U N I C A T I O N              D                                                                    T e x t 2 6            M E T   C O M M U N I C A T I O N    M E T   C O M M U N I C A T I O N              D                                                                    T e x t 3 3           " P L A N   I N F O R M A T I O N   A C C E S S   T E C H N O L O G Y   " P L A N   I N F O R M A T I O N   A C C E S S   T E C H N O L O G Y              D                                                                    T e x t 3 7           ! M E T   I N F O R M A T I O N   A C C E S S   T E C H N O L O G Y   ! M E T   I N F O R M A T I O N   A C C E S S   T E C H N O L O G Y           $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + @
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3    D                                                                    T e x t 2 1            P L A N   M O B I L I T Y / T R A N S P O R T A T I O N    P L A N   M O B I L I T Y / T R A N S P O R T A T I O N              D                                                                    T e x t 2 7            M E T   M O B I L I T Y   T R A N S P O R T A T I O N    M E T   M O B I L I T Y   T R A N S P O R T A T I O N              D                                                                    T e x t 3 4           ! P L A N   P E R S O N A L   R E S O U R C E   M A N A G E M E N T   ! P L A N   P E R S O N A L   R E S O U R C E   M A N A G E M E N T              D                                                                    T e x t 3 8             M E T   P E R S O N A L   R E S O U R C E   M A N A G E M E N T     M E T   P E R S O N A L   R E S O U R C E   M A N A G E M E N T           $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + @
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3    D                                                                    T e x t 2 2            P L A N   C O M M U N I T Y   B A S E D   L I V I N G    P L A N   C O M M U N I T Y   B A S E D   L I V I N G              D                                                                    T e x t 2 8            M E T   C O M M U N I T Y   B A S E D   L I V I N G    M E T   C O M M U N I T Y   B A S E D   L I V I N G             D                                                                    T e x t 3 5           J P L A N   R E L O C A T I O N   F R O M   N U R S I N G   H O M E   O R   I N S T I T U T I O N   T O   C O M M U N I T Y   B A S E D   L I V I N G   J P L A N   R E L O C A T I O N   F R O M   N U R S I N G   H O M E   O R   I N S T I T U T I O N   T O   C O M M U N I T Y   B A S E D   L I V I N G             D                                                                    T e x t 3 9           I M E T   R E L O C A T I O N   F R O M   N U R S I N G   H O M E   O R   I N S T I T U T I O N   T O   C O M M U N I T Y   B A S E D   L I V I N G   I M E T   R E L O C A T I O N   F R O M   N U R S I N G   H O M E   O R   I N S T I T U T I O N   T O   C O M M U N I T Y   B A S E D   L I V I N G           $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + @
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3    D                                                                    T e x t 2 3            P L A N   E D U C A T I O N A L   V O C A T I O N A L    P L A N   E D U C A T I O N A L   V O C A T I O N A L              D                                                                    T e x t 2 9            M E T   E D U C A T I O N A L   V O C A T I O N A L    M E T   E D U C A T I O N A L   V O C A T I O N A L             D                                                                    T e x t 3 6           # P L A N   C O M M U N I T Y   S O C I A L   P A R T I C I P A T I O N   # P L A N   C O M M U N I T Y   S O C I A L   P A R T I C I P A T I O N              D                                                                    T e x t 4 0           # P L A N   C O M M U N I T Y   S O C I A L   P A R T I C I P A T I O N   " M E T   C O M M U N I T Y   S O C I A L   P A R T I C I P A T I O N           $$If     !v h5 j5o5/555 #v j#vo#v/#v#v#v :V + @
t  0                                          y-  , 5 j5o5/555 /      4 
+ yt3    D                                                                    T e x t 2 4            P L A N   O T H E R   G O A L    P L A N   O T H E R   G O A L              D                                                                    T e x t 3 0            M E T   O T H E R   G O A L    M E T   O T H E R   G O A L              D                                                                    T e x t 4 1            I F   O T H E R ,   S P E C I F Y    I F   O T H E R ,   S P E C I F Y           $$If     !v h5 j5o55#v j#vo#v#v:V + @
t  0                                          y-  , 5 j5o55/      /     /     /     /     4 
+ yt3  $$If     !v h5 f-#v f-:V +  	  
t  
         0                                          y- , 5 f-/      4 
+ p
         yt3  $$If     !v h5 f-#v f-:V +  
t  0                                          y- , 5 f-/ 
     4 
+ yt3   D                                                                   C h e c k 4 0         Z P A R T   4   C O M P L E T E   A T   C L O S U R E   A L O N G   W I T H   G O A L S   M E T   S E R V I C E S   P R O V I D E D  
 A D V O C A C Y / L E G A L   S E R V I C E S   \ P A R T   4   C O M P L E T E   A T   C L O S U R E   A L O N G   W I T H   G O A L S   M E T         S E R V I C E S   P R O V I D E D   A D V O C A C Y / L E G A L   S E R V I C E S              D                                                                             P E E R   C O U N S E L I N G   S E R V I C E S    P E E R   C O U N S E L I N G   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 2          A S S I S T I V E   T E C H N O L O G Y    A S S I S T I V E   T E C H N O L O G Y              D                                                                             P E R S O N A L   A S S I S T A N C E   S E R V I C E S    P E R S O N A L   A S S I S T A N C E   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 3          C H I L D R E N ' S   S E R V I C E S    C H I L D R E N ' S   S E R V I C E S              D                                                                             P H Y S I C A L   R E S T O R A T I O N   S E R V I C E S    P H Y S I C A L   R E S T O R A T I O N   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 4          C O M M U N I C A T I O N   S E R V I C E S    C O M M U N I C A T I O N   S E R V I C E S              D                                                                             P R E V E N T A T I V E   S E R V I C E S    P R E V E N T A T I V E   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 5          C O U N S E L I N G   A N D   R E L A T E D   S E R V I C E S    C O U N S E L I N G   A N D   R E L A T E D   S E R V I C E S             D                                                                            * P R O S T H E S E S ,   O R T H O T I C S   A N D   O T H E R   A P P L I A N C E S   ) P R O T H E S E S ,   O R T H O T I C S   A N D   O T H E R   A P P L I A N C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 6          F A M I L Y   S E R V I C E S    F A M I L Y   S E R V I C E S              D                                                                             R E C R E A T I O N A L   S E R V I C E S    R E C R E A T I O N A L   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3 2  D                                                                   C h e c k 5 7         / H O U S I N G ,   H O M E   M O D I F I C A T I O N   A N D   S H E L T E R   S E R V I C E S   / H O U S I N G ,   H O M E   M O D I F I C A T I O N   A N D   S H E L T E R   S E R V I C E S              D                                                                             R E H A B   T E C H N O L O G Y   S E R V I C E S    R E H A B   T E C H N O L O G Y   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3 "  D                                                                   C h e c k 5 8         + I L   S K I L L S   T R A I N I N G   A N D   L I F E   S K I L L S   T R A I N I N G   + I L   S K I L L S   T R A I N I N G   A N D   L I F E   S K I L L S   T R A I N I N G              D                                                                             T H E R A P E U T I C   T R E A T M E N T    T H E R A P E U T I C   T R E A T M E N T            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 5 9         ! I N F O R M A T I O N   A N D   R E F E R R A L   S E R V I C E S   ! I N F O R M A T I O N   A N D   R E F E R R A L   S E R V I C E S              D                                                                             T R A N S P O R T A T I O N   S E R V I C E S    T R A N S P O R T A T I O N   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 6 0          M E N T A L   R E S T O R A T I O N   S E R V I C E S    M E N T A L   R E S T O R A T I O N   S E R V I C E S              D                                                                             Y O U T H   T R A N S I T I O N   S E R V I C E S    Y O U T H   T R A N S I T I O N   S E R V I C E S            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3    D                                                                   C h e c k 6 1          M O B I L I T Y   T R A I N I N G    M O B I L I T Y   T R A I N I N G              D                                                                            $ O T H E R   S E R V I C E S   N O T   P R E V I O U S L Y   L I S T E D   $ O T H E R   S E R V I C E S   N O T   P R E V I O U S L Y   L I S T E D            $$If     !v h5 55v5k#v #v#vv#vk:V + 
t  0                                          y- , 5 55v5k/      /     4 
+ yt3   D                                                                    T e x t 4 2           # I F   O T H E R ,   D E S C R I B E   S E R V I C E   P R O V I D E D   # I F   O T H E R ,   D E S C R I B E   S E R V I C E   P R O V I D E D            $$If     !v h5 l-#v l-:V + 
t  0                                          y- , 5 l-/      4 
+ yt3  $$If     !v h5 l-#v l-:V +  
t  0                                          y- , 5 l-/      4 
+ yt3   D                                                                   C h e c k 2 7         T S E L E C T   O N E   O F   T H E   F O L L O W I N G   R E A S O N S   F O R   C L O S U R E  
 C O M P L E T E D   A L L   G O A L S   S E T   -   S T A T U S   2 6   T S E L E C T   O N E   O F   T H E   F O L L O W I N G   R E A S O N S   F O R   C L O S U R E     C O M P L E T E D   A L L   G O A L S   S E T   -   S T A T U S   2 6              D                                                                   C h e c k 2 8          M O V E D    M O V E D              D                                                                   C h e c k 2 9         	 W I T H D R A W N   	 W I T H D R A W N              D                                                                   C h e c k 3 0          D I E D    D I E D           .  D                                                                   C h e c k 3 1         . O T H E R   R E A S O N   F O R   C L O S U R E   N O T   P R E V I O U S L Y   L I S T E D   . O T H E R   R E A S O N   F O R   C L O S U R E   N O T   P R E V I O U S L Y   L I S T E D              D                                                                    T e x t 4 4            I F   O T H E R ,   D E S C R I B E   R E A S O N    I F   O T H E R ,   D E S C R I B E   R E A S O N S            $$If     !v h5 T551
#v T#v#v1
:V + 
t  0                                          y- , 5 T551
/      /     4 
+ yt3    D                                                                    T e x t 4 5            T O T A L   C O S T   O F   S E R V I C E S    T O T A L   C O S T   O F   S E R V I C E S              D                                                                    T e x t 4 6        5    C L O S U R E   S T A T U S    C L O S U R E   S T A T U S              D                                                                    T e x t 4 7            C L O S U R E   D A T E    C L O S U R E   D A T E           ($$If     !v h5 Q55[	55I5#v Q#v#v[	#v#vI#v:V + 
t  0                                          y- , 5 Q55[	55I5/      /     /     4 
+ yt3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     @  @ @          N o r m a l       CJ _HaJ mH	sH	tH	                  D A@ D          D e f a u l t   P a r a g r a p h   F o n t     R i@ R          T a b l e   N o r m a l      4 
l 4   a      ( k  (           N o   L i s t          j @  j   	   
 T a b l e   G r i d   7 :V 0                                   4 @ 4   m    H e a d e r      !   4  @ 4   m    F o o t e r      !   . )@ !.   s    P a g e   N u m b e r         "  
    	           @   j   s                                           .  /  F  Z  [  r                              (  <  A  Y  o  }                              =  t                            ?  r              ,  -               7  8  ^              &  '  K    n        4	  	  
  "  #  E  Y  Z  [  ]  u                      *  +  ;  <  L  M  N  S  W  ]  b  f  l  m                      1  E  c  d  x                  )  =  Q                   !  5  I  Z  n  o                    )  >  P  m  n                       '  G  Y                    !  D  E  W                
      9  K  e  f  x                  e  }                            	               #  @   0                 @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  `   0                  `   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  `   0                  @   0                  `   0                  `   0                  `   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                 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 0                 @   0                   @  0                 @   0                  @   0                  @  0                 @   0                   @  0                 @   0                  @   0                  @  0                 @   0                 @  0                 @   0                  @   0                  @  0                 @   0                   @  0                 @   0                  @   0                  @  0                 @   0                   @  0                 @   0                  @   0                  @  0                 @   0                   @  0                 @   0                  @   0                  @  0                 @   0                   @  0                 @   0                  @   0                  @  0	                 @   0                   @  0	                 @   0                  @   0                  @  0
                 @   0                   @  0
                 @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                  @   0                    @   0                    0 0                   @   0                    0 0                   @   0                   0 0                   @   0                   0 0                   @  0                   @   0                    0 0                     s              .  Z                ,  &  	  
  Y  u          M  W  b  f  l                c      )         n          P  m  n               Y            !  D  E          
    K  e  f  x                #   0 0         R       0 0         2         00                 0 0                  0 0                  00         1      < 00               Tt 0
0         >       00         >         00         	          0 0                   00         	      t 0
0               u 00               t 00                 % 00               &h 00               ؟% 00                   00         C      P 00         C          00         D          00         D          00                G@   0            0     00         E      P 0 0                  00         E          0 0                  00         A          00         K         00         J         00                   00                   00                   00                 : 00               tS: 00                 : 00               : 00                 : 00            	   0S: 00                 : 0
0               : 00                 : 00               l_: 0/0         E   0   Ȓ 0 0               ȖN 0(0         ,   )    00                   0 0               ȖN 00                 Gk@o n0:   x    I n d e n   0 0               ȖN 00                 Ng@ X0  S n a p   t o      0 0               ȖN 00                 Nn@  c0o n t r o l Dk e t   0 0               ȖN 0
0                 N          0 0               ȖN 00                 N@  0             9 8X  0 0               ȖN 00                 NA   0      .<  M i c r   0 0               ȖN 00                 J@  0 t\     F      0 0               ȖN 00                 I@A0z          0 0               ȖN 00                 I7@2 p       0E0                  0E0                  0 0                   00                  @
05 2 @         0 0                   0 0                [ 00               <[@   0                               	                                  	  	  
  L        6    N  <    r        l    t  *    b~  0      L    P        r  z  l                           !   #   %   '   )   +   -   /   1   2   4   8   ;   =   >   H   J   K   M   N   P   S   W   Z   ]   a   d   e   g      	  	  \
  
  L  .  "  F  j  6          P    x            4  (  "~  .      8      6      `        p  &  Ԋ  &    l                                   "   $   &   (   *   ,   .   0   3   5   6   7   9   :   <   G   I   L   O   Q   R   T   U   V   X   Y   [   \   ^   _   `   b   c   f   h                                         &  ,  F  R  X  r  ~                                  (  4  :  A  Q  Y  i  }                    -  =  M  t                    $  ?  O  r                -  =                   8  H  ^  n                    '  7  K  [      n  ~            	  4	  D	  	  	  
    #  3  E  Q  W  u            m  y                                    )  /  1  =  C  d  p  v  x                          
    )  5  ;  =  I  O                          !  -  3  5  A  G  Z  f  l            '  >  N  n  ~                %  G  W                  E  U                  9  I  f  v                  +  2  B  O  _  e  u  }                        "  G$G$FFFFFFFFFFFG$G$FG$G$G$G$G$G$G$FG$G$G$G$G$G$G$G$FG$FG$G$G$G$G$FG$G$G$G$G$G$G$G$G$G$G$FFFFFFFFFFFFFFFFFFFFFFFFFFG$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$FG$G$G$G$G$FFFF  @                                @             H               0    (    	                    
                        0    (    	                    
          B    
        S              	   ?          a    C h e c k 1  C h e c k 2  T e x t 2  T e x t 1 2  T e x t 3  T e x t 1  T e x t 5  T e x t 6  T e x t 7  T e x t 8  T e x t 1 5  T e x t 9  T e x t 1 0  C h e c k 6 2  C h e c k 6 3  T e x t 1 1  C h e c k 3 3  C h e c k 3 4  C h e c k 3 5  C h e c k 3 6  C h e c k 3 7  C h e c k 3 8  C h e c k 3 2  T e x t 1 4  C h e c k 3  C h e c k 4  C h e c k 5  C h e c k 6  C h e c k 7  C h e c k 8  C h e c k 9  C h e c k 1 0  T e x t 1 7  C h e c k 1 1  T e x t 4 3  C h e c k 1 2  C h e c k 1 3  C h e c k 1 4  C h e c k 1 5  C h e c k 1 6  T e x t 1 3  C h e c k 1 7  C h e c k 1 8  C h e c k 6 4  C h e c k 1 9  C h e c k 2 0  C h e c k 2 1  C h e c k 2 2  C h e c k 2 3  C h e c k 2 4  C h e c k 2 5  C h e c k 2 6  T e x t 1 6  T e x t 1 9  T e x t 2 5  T e x t 3 1  T e x t 3 2  T e x t 2 0  T e x t 2 6  T e x t 3 3  T e x t 3 7  T e x t 2 1  T e x t 2 7  T e x t 3 4  T e x t 3 8  T e x t 2 2  T e x t 2 8  T e x t 3 5  T e x t 3 9  T e x t 2 3  T e x t 2 9  T e x t 3 6  T e x t 4 0  T e x t 2 4  T e x t 3 0  T e x t 4 1  C h e c k 4 0  C h e c k 5 2  C h e c k 5 3  C h e c k 5 4  C h e c k 5 5  C h e c k 5 6  C h e c k 5 7  C h e c k 5 8  C h e c k 5 9  C h e c k 6 0  C h e c k 6 1  T e x t 4 2  C h e c k 2 7  C h e c k 2 8  C h e c k 2 9  C h e c k 3 0  C h e c k 3 1  T e x t 4 4  T e x t 4 5  T e x t 4 6  T e x t 4 7               F  r            (  A  Y  }          =  t          ?  r        -         8  ^          '  K    n        4	  	  
  #  E  m              1  d  x          )  =          !  5  Z      n          E      f        2  O  e  }        #                              	   
                                                                      !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @   A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z   [   \   ]   ^   _   `              -  Y              ;  R  j          .  N          %  P          >        I  o          8  \          	  E	  	    4  X              0  D  w            <  P           4  H  m    (      &      V      w      ,  C  `  v           #        TL`   %    t<      #                     #              =      *urn:schemas-microsoft-com:office:smarttags	PlaceName =      *urn:schemas-microsoft-com:office:smarttags	PlaceType 9     *urn:schemas-microsoft-com:office:smarttagsplace   v                                     	             #                                  	             #                                          8  K  \      n              	  4	  E	  	  	  
    #  4  E  X  [  ^  u                m                          0  1  D  d  w  x                    )  <  =  P                   !  4  5  H  Z  m  o  o            (  >  O  n                  &  G  X                   E  V                  9  J  f  w                ,  2  C  O  `  e  v  }                                         	           #                                                                                                                                                                                                	             #                 a2H xf  wvQND M[ lHpj= l$_Q
  bt:p  RDD  =6:@ !,8 MQN;,&  JS`  gLV8f~ aDd)  8,dv~i -~f< EEm>f  nİv}  ?V^uĴ ,U{rL  &, w6$W                               ^ `  o( h    H                         
   ^`h    H    .                     
  pL p^p`Lh    H    .                      
  @ @^@`h    H    .                     
   ^`h    H    .                     
  L ^`Lh    H    .                      
   ^`h    H    .                     
   ^`h    H    .                     
  PL P^P`Lh    H    .              h         ^`o( h    H                 h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .                                ^  `  5 6 CJ OJ QJ o( h    H                         
   ^`h    H    .                     
  pL p^p`Lh    H    .                      
  @ @^@`h    H    .                     
   ^`h    H    .                     
  L ^`Lh    H    .                      
   ^`h    H    .                     
   ^`h    H    .                     
  PL P^P`Lh    H    .              h           ^ `o( h    H                 h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .                               ^  `  o( h    H                         
   ^`h    H    .                     
  pL p^p`Lh    H    .                      
  @ @^@`h    H    .                     
   ^`h    H    .                     
  L ^`Lh    H    .                      
   ^`h    H    .                     
   ^`h    H    .                     
  PL P^P`Lh    H    .              h      
   ^`h    H     .             h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .                               ^  `  5 6 CJ OJ QJ o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
  @ @^@`h    H    .                      
   ^`h    H    .                     
  L ^`Lh    H    .                       
   ^`h    H    .                      
   ^`h    H    .                     
  PL P^P`Lh    H    .                            ^ `o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
  @ @^@`h    H    .                      
   ^`h    H    .                     
  L ^`Lh    H    .                       
   ^`h    H    .                      
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  PL P^P`Lh    H    .                                ^  `  5 6 CJ OJ QJ o( h    H                         
   ^`h    H    .                     
  pL p^p`Lh    H    .                      
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  PL P^P`Lh    H    .                                ^  `  5 6 CJ OJ QJ o( h    H                         
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  PL P^P`Lh    H    .                               ^  `  o( h    H                          
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  pL p^p`Lh    H    .                       
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  PL P^P`Lh    H    .                              ^  ` o( h    H                          
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   ^`h    H     .             h      
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   ^`h    H    .                     
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  X X^X`h    H    .                     
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  PL P^P`Lh    H    .                               ^  `  o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
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  PL P^P`Lh    H    .                               ^  `  o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
  @ @^@`h    H    .                      
   ^`h    H    .                     
  L ^`Lh    H    .                       
   ^`h    H    .                      
   ^`h    H    .                     
  PL P^P`Lh    H    .              h      
   ^`h    H     .             h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .                               ^  `  o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
  @ @^@`h    H    .                      
   ^`h    H    .                     
  L ^`Lh    H    .                       
   ^`h    H    .                      
   ^`h    H    .                     
  PL P^P`Lh    H    .              h      
   ^`h    H     .             h      
   ^`h    H    .             h      
  pL p^p`Lh    H    .              h      
  @ @^@`h    H    .             h      
   ^`h    H    .             h      
  L ^`Lh    H    .              h      
   ^`h    H    .             h      
   ^`h    H    .             h      
  PL P^P`Lh    H    .                               ^  `  5 6 CJ OJ QJ o( h    H                          
   ^`h    H    .                     
  pL p^p`Lh    H    .                       
  @ @^@`h    H    .                      
   ^`h    H    .                     
  L ^`Lh    H    .                       
   ^`h    H    .                      
   ^`h    H    .                     
  PL P^P`Lh    H    .    gLV            &            ?V^u            M[            -~f            l$_            a            x            a2            RD            wvQ            JS            lH            MQN;            8,d            =6            EEm            ,U{            n            b            w6            !,8                                                                	 	 	 	 	 	 	 	   ĠΫ 	 	 	 	 	 	 	 	  	 	 	 	 	 	 	 	 fG` 	 	 	 	 	 	 	 	       菼 	 	 	 	 	 	 	 	 ĠΫ 	 	 	 	 	 	 	 	      	 	 	 	 	 	 	 	 	   @ 	 	 	 	 	 	 	 	 *r 	 	 	 	 	 	 	 	      	 	 	 	 	 	 	 	 	    	 	 	 	 	 	 	 	 	                      R< XS /W [  !  F
 8 ;   n xC : f  G ; f ! +% & 	I) E* , 6>- Y42 3 4 F{6 O7 D8 VJ8 f< h> $A J :J =K [OL `pQ >{R iU }9V ^uX z<Y uZ <[ Uu\ ][` a Ssb Kd ,e Vf 8g R0j n jr s Kss O3z I} c , L,  t /S (H ~ $ n  > 9  m ? K   uc  wj 3 <H W e H vl <i 	 { 0 , r h; iH 9  . v  J ~ + b q rm & ~U Tt f | } WM t  : 3 N M 8 | }] B+ 0  6 J !2        j   s                                           .  /  F  Z  [  r                              (  <  A  o  }                          =                          r          ,  -               7  8            &  '  "  #  E  Y  Z  [  ]  u                      *  +  ;  <  L  M  N  S  W  ]  b  f  l  m                      1  E  c  d  x                  )  =  Q                   !  5  I  Z  n  o                    )  >  P  m  n                       '  G  Y                    !  D  E  W                
      9  K  e  f  x                  e  }                    #                                                                                                                                                                                                                                                                                                                                                                                                                                       @                         R  R  R  "          
                    @                , @                ~        U n k n o w n                                   G  z                  T i m e s   N e w   R o m a n   5                       S y m b o l   3&  z                  A r i a l   ?5  	z                  C o u r i e r   N e w   ;                                W i n g d i n g s   "  1       C¦C¦+Ҽf 
   "     
    &   "     
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                                     j   h     1 T a b l e                                                                                                  ҕ      W o r d D o c u m e n t                                                                                        <       S u m m a r y I n f o r m a t i o n                           (                                     j          D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                        r          C o m p O b j                                                                                           q                                                                                                                               
  	           F   Microsoft Office Word Document 
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