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.
South Dakota 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
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 living in South Dakota to SBVI.
Frequently Asked Questions when referring to SBVI
Rest Area Vending Remittance Form This Remittance Form and Instructions for Completion are to be used by entities who were awarded vending at the State's Rest Areas on Interstates 90 and 29. Rest Area Vending funds are utilized by the Business Enterprise Program within SBVI.
Download an accessible version of the Adobe Acrobat Reader.