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First Name
Last Name
Date of Birth
Have you applied for, or are you receiving benefits or services?
Have you applied for, or are you receiving benefits or services? Benefits and Services Include: Unemployment Compensation Benefits, Office of Vocational Rehabilitation Services, Veteran, Trade, Human Services, Temporary Assistance for Needy Families, Supplemental Nutrition Assistance Program, and Workforce Investment Act
Have you applied for, or are you receiving benefits or services?
Yes
No
Are you registering to comply with the UC requirement to register for employment search services?
Yes
No
Are you a person with a disability seeking OVR Services?
The Pennsylvania Office of Vocational Rehabilitation, or OVR, works with individuals with disabilities who want to work but face difficulties getting, keeping, or advancing in employment. Services are provided on an individualized basis to eligible individuals. OVR contains a bureau dedicated to assisting individuals who are blind or visually impaired gain the skills necessary to live and work independently in their communities, including specialized services for children and adult independent living skills.
Are you a person with a disability seeking OVR Services?
Yes
No
SSN
Unemployment Compensation claimants must provide their Social Security Number to meet the work search registration requirement. For all other job seekers, Social Security Number is collected to meet federal reporting requirements for employment services. If you have any questions about these requirements, please contact your local Pennsylvania CareerLink® office.
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