dsb-0197-ILR-instructions: ILR/Request for Residence Modification Instructions

The Request for Residence Modification form is completed with individuals who are eligible for services and in need of a simple home modification to enhance their functional independence. The purpose of the form is to assure that the individual and property owner are fully aware of the proposed specifications and modifications.
Form Numberdsb-0197-ILR-instructions
Agency/DivisionServices for the Blind (DSB)
Form Effective Date 2009-05-27T14:55:00-04:00
Form File dsb-0197-ILR-instructions.pdf