Thursday, June 30, 2011

DC Rehabilitation Services Administration -- Job Search -- 2006

GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF HUMAN SERVICES

REHABILITATION SERVICES ADMINISTRATION

CLIENT SERVICES DIVISION

810 First Street N.E., 9th Floor
Washington, DC 20002-2247
Telephone: (202) 442-8400

CERTIFICATION OF ELIGIBILITY

03/07/2006

GARY FREEDMAN
3801 CONN. AVE., NW
Washington DC 20008

A preliminary assessment has been completed that included:

1) information that you, your family, other authorized representatives and advocates provided; and
2) information from existing records and other information.

Based on this assessment it has been determined that you have been found eligible for vocational rehabilitation services.

A. You have a physical or mental impairment
2) you can benefit in terms of an employment outcome and

B. You require vocational rehabilitation services to secure, prepare for, regain or retain a successful employment outcome.

Client Signature: /s/ Gary Freedman

Date of Client Signature: 3-7-06

Representative/Guardian Signature (when necessary):

Counselor Signature: Eugene Weatherford

Date: 3/6/06

Copy provided to client on (date):

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