The IMPACT Referral Form is intended only for active consumers of the Massachusetts Rehabilitation Commission. It is available for you to print out and return to Project Impact.
This information is provided by the Massachusetts Rehabilitation Commission.
| Form | Format | |
| IMPACT Referral Form |
PDF 
|
Word 
|
Please return the completed form to the SES program at the address below.
The MRC Statewide Employment Services Department
The Massachusetts Rehabilitation Commission
Administrative Offices
600 Washington Street
Boston, MA 02111MRC Main Information numbers: 1-800-245-6543 (Voice/TDD) or (617) 204-3600
Fax (617) 727-1354
If you need alternative formats please contact Joe Reale at (617) 204-3854 or Joseph.Reale@mrc.state.ma.us
This information is provided by the Massachusetts Rehabilitation Commission.