111—10.10 (17A) Forms. The following forms are used by the vocational rehabilitation services program:
	  1. 	 Application for rehabilitation services—used for application for vocational rehabilitation services from the department. Also contains statement of compliance with the Civil Rights Act of 1964 and release of information form.
	  2. 	 Individual plan for employment (IPE)—used by the counselor/teacher and individual to develop a blind person’s program for rehabilitation. Printed on the form are the following statements: mutual agreement and understanding between individual and counselor; department’s program responsibilities; individual responsibilities; review and evaluation of progress toward objectives and goal; and individual rights and remedies. In addition, the IPE provides for mutual development of a vocational goal, summary of planned services, accepted criteria for review and evaluation purposes and individual acceptance and response.