DBS “Successful 75” Business Recognition Nomination Form


The Division of Blind Services (DBS) is seeking nominations for the "Successful 75 Awards". Please use this form to nominate a Business for the “Successful 75” award. Nominees must demonstrate a sincere investment in working with and providing opportunities for persons who are blind or visually impaired, via recruitment and hiring practices, reasonable work accommodations and the creation of an inclusive workplace.

The nomination form should only take about 10 minutes to complete. Use the 'Next' and 'Prev' buttons at the bottom of each page to navigate. Click 'Submit' at the end to finish the questionnaire and close your browser. Once you have submitted your nomination form, responses cannot be changed.