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

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 Remittance Form: The Rest Area Remit Form(s) shall be submitted monthly on or before the 20th day of the month, for sales in the preceding month.

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 .

Download an accessible version of the Adobe Acrobat Reader