SBVI Forms

Listed below are forms and applications for programs in the Division of Service to the Blind and Visually Impaired. If you wish to apply for a program service, please download the application in Adobe Acrobat format, print the application, complete and sign the relevant application and mail to the Division central office.

Department of Human Services
Division of Service to the Blind and Visually Impaired
3800 East Highway 34
c/o 500 East Capitol
Pierre, SD 57501-5070

To Apply for Vocational Rehabilitation (VR) Services: Information about SBVI Vocational Rehabilitation Services.

  You can complete the application online and then print and sign it for mailing or just print the

   form and complete it by hand. Vocational Rehabilitation Online Fillable Application Form

   Vocational Rehabilitation Services Application screenreader ready form

   Client Assistance Program information

To Apply for SBVI Independent Living Older Blind Services: Information about the SBVI Independent Living Older Blind Services.

   Independent Living Older Blind Services Application online fillable form

   Independent Living Older Blind Services Application screenreader-ready form

   Client Assistance program Information

Referral Form to SBVI  This Referral Form can be used to refer individuals to SBVI.

Frequently Asked Questions when referring to SBVI

Rest Area Vending Remittance Form 2010:  This form can be used by contract vendors Rest Area Remittance Form 2010

Download an accessible version of the Adobe Acrobat Reader.