The purpose of this study was to examine employment outcomes for adult vocational rehabilitation clients with deaf-blindness. Specifically, this study examined the relationship between case service provisions, and competitive employment outcomes for individuals with deaf-blindness. The sample was obtained from Rehabilitation Services Administration Case Service Report (RSA-911) data and included 135 cases of individuals with deaf-blindness identified as their primary or secondary disability and whose cases were closed during the fiscal year 2016. The independent variables consisted of vocational rehabilitation case service-related variables. The dependent variable was attainment of competitive employment. Results indicated that three vocational rehabilitation case service variables were associated with client outcomes for those with deaf-blindness seeking and obtaining competitive employment. Implications for improving employment outcomes for clients with deaf-blindness include supporting postsecondary educational attainment opportunities, providing job placement services, and providing job search-related services. Implications for services provided by vocational rehabilitation agencies are discussed.