ICBVI Client Responsibilities and Rights

ICBVI Client Responsibilities and Rights

ICBVI Client Responsibilities and Rights

My Responsibilities:

To be an active and full partner in the VR process.

To comply with reasonable requirements and keep appointments; to cooperate and follow through with my plan for employment; and achieve employment.

To notify my VR counselor of any changes that may affect my rehabilitation.

To apply for and utilize comparable benefits when available.

To participate financially, if appropriate, in the costs of the plan as negotiated through the Financial Needs Assessment.

I understand that ICBVI will not pay for goods or services without prior approval in writing. Any debt I incur without this approval is my responsibility.

To ask questions when I do not understand any aspect of services being provided.

To participate in pre-employment transition services (transition students only), which includes ICBVI summer programs and other state or regional activities.

To follow up with ICBVI staff, if appropriate, on employment information (or credential attainment) for a period not to exceed 12 months after my file is successfully closed with ICBVI. Such information may include wages, hours worked, and/or opportunities for advancement. If I am required to this, I will keep my VR counselor informed of any changes to my contact information during this period of time.

My Rights:

ICBVI will not discriminate regarding eligibility, determination of services needed or employment in regards to race, color, creed, sex, age, disability or veteran status.

Eligibility will be based solely upon: 1) legal or functional blindness and other physical or mental impairments; 2) which are a substantial impediment to employment; 3) that require VR services to become employed; and 4) that I have the ability to benefit in terms of an employment outcome

OR

SSI or SSDI beneficiaries who intend to achieve an employment outcome

Full involvement in all decisions, and participation in writing my rehabilitation plan, amendments or changes.

Options for writing my Individualized Plan for Employment (IPE) are: 1) by client and ICBVI counselor; 2) by client; 3) by client and other resources.

All information received by ICBVI is confidential and will only be releasedwith client’s written permission, except for audits, mandated research efforts, law enforcement investigations, court subpoena, judicial order or other releases required bylaw or formal agreement. I have the right to access any information in my file except information from Social Security, Disability Determinations or the Veteran’s Administration.

I may discuss any problem regarding the provision of services with an ICBVI representative or supervisor at any time. If I am dissatisfied with the provision or denial of services, I may request an Administrative Review, Mediation or a Fair Hearing to resolve the contested actions. I understand that I have 30 days to file a written request.

I understand Post Employment Services are available following the successful closure of my case file to help me retain my employment.

I understand the availability of the Client Assistance Program and its ability to resolve conflicts between myself and ICBVI.

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Client SignatureDate

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Parent or Guardian orDate

Authorized Representative

Revised 2/17