Employment Planning Application (Includes Customer Statement of Rights and Responsibilities) *Staff/Customer (Digital Available) IL/SS Application (Includes Customer Statement of Rights and Responsibilities) Staff OM/RT Assessment Form NA Medical Information Form *Staff/Customer (Digital Available) VR Financial Needs Test *Staff/Customer (Digital Available) IL/SS Financial Needs Test *Staff/Customer (Digital Available) Time Extension Staff Certificate of Eligibility Staff IL/SS Eligibility Information NA Employment Barriers Form Staff Order of Selection *Staff/Customer (Digital Available) Individual Plan for Employment (Digital Available) VR Plan *Staff/Customer (Digital Available) Instructional Services Plan *Staff/Customer (Digital Available) IL/SS Plan Financial Aid Information Forms Staff/District Administrator Training Waiver Report Staff Job Coaching Referral Staff Job Coaching Needs Determination Staff/Customer/Provider Job Coaching Placement Report Staff/Customer/Provider Job Coaching Hours Negotiated Staff Service Authorization Staff/Provider Invoice NA Services Provided Staff Closure Form Staff HGAC Admission/Discharge Report Staff HGAC Referral Form Staff HGAC Customer Progress Term Report Staff HGAC Customer Progress COR Report Staff/Customer/Employer On The Job Training Contract NA OVR Training Information Staff Vocational Evaluation Referral Staff/Customer/Provider (When Agreement for Services and Return Applicable) (Digital Available) *Staff/Customer (Digital Available) Agreement to *Staff/Customer (Digital Available) Financial Participation Agreement (OVR T-15) *Staff/Customer (Digital Available) Receipt and Agreement *Staff/Customer (Digital Available) Receipt of Reusable Equipment *Staff/Customer (Digital Available) Voter Registration (Digital Available)
Employment Planning Application (Includes Customer Statement of Rights and Responsibilities) IL/SS Application (Includes Customer Statement of Rights and Responsibilities) OM/RT Assessment Form Medical Information Form VR Financial Needs Test IL/SS Financial Needs Test Time Extension Certificate of Eligibility IL/SS Eligibility Information Employment Barriers Form Order of Selection Individual Plan for Employment VR Plan Instructional Services Plan IL/SS Plan Financial Aid Information Forms Training Waiver Report Job Coaching Referral Job Coaching Needs Determination Job Coaching Placement Report Job Coaching Hours Negotiated Service Authorization Invoice Services Provided Closure Form HGAC Admission/Discharge Report HGAC Referral Form HGAC Customer Progress Term Report HGAC Customer Progress COR Report On The Job Training Contract OVR Training Information Vocational Evaluation Referral Agreement for Services and Return Agreement to Financial Participation Agreement (OVR T-15) Receipt and Agreement Receipt of Reusable Equipment Voter Registration *Staff/Customer (Digital Available) Staff NA *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) Staff Staff NA Staff *Staff/Customer (Digital Available) (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) Staff/District Administrator Staff Staff Staff/Customer/Provider Staff/Customer/Provider Staff Staff/Provider NA Staff Staff Staff Staff Staff Staff/Customer/Employer NA Staff Staff/Customer/Provider (When Applicable) (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) *Staff/Customer (Digital Available) (Digital Available)
PENN1-13.docx