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If your question concerns a self employment question, please complete as many of the following items as applicable OR go to the bottom of the form to submit a question.
1. Are you an individual with a disability or limitation? If applicable, what is the specific disability or medical condition?
2. Do you have a particular business idea in mind?
3. Where are you currently in the process of getting started?
4. Are you working with any local employment programs for people with disabilities, such as vocational rehabilitation?
5. Have you contacted or worked with any programs that help with small business development (e.g., SBA, SBDC, SCORE, etc.)?
6. Are you currently receiving any income support (e.g., SSI, SSDI, veteran's benefits, private disability, unemployment, etc.)?
7. What are the main issues we can assist you with?
8. Will you need any alternative formats?
Please also include your mailing address (street address or P.O. Box, city, state, and county)
Note: JAN can provide technical assistance, but JAN is not a legal service so cannot provide legal advice. If you need legal advice, you should consult a legal service.
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