and/or VR Contractor. VR Staff and/or VR Contractors will have five (5) business days to review the resume/mock application and provide feedback to the Provider. Sample Job Development Plan will be included in the VR Forms folder available in the Provider Section of OOD’s website (www.ood.ohio.gov). GENERAL INFORMATION FIELD ENTRY INFORMATION TYPE Enter the name of the Provider, as it appears PROVIDER NAME TEXT on VR Original Authorization & Billing Enter the full name, first and last, and initials of JOB DEVELOPER(S) NAME(S) TEXT the Direct Staff who provided the service. Enter the full name, first and last, of the JOB SEEKER NAME TEXT Individual who received the service. Enter the full name of the VR Counselor or VR Contractor assigned to manage services. The COUNSELOR/CONTRACTOR TEXT name can be located in the right-mid section of NAME the VR Original Authorization & Billing EMPLOYMENT NEEDS FIELD ENTRY INFORMATION TYPE Enter the Employment Goal as identified on the Referral to Facility. Providers may not pursue job leads outside the Employment Goal EMPLOYMENT GOAL TEXT area unless the VR Staff and/or VR Contractor amend the IPE and provide a written notification to the Provider. Enter the specific wages that the Job Seeker has indicated as a requirement for a successful WAGE GOAL TEXT placement. Providers may not pursue Employment Goals that are below this wage threshold. Enter the specific number of hours that the Job Seeker has indicated as a requirement for a HOURS GOAL TEXT successful placement. Providers may not pursue Employment Goals that are below this number of hours.
and/or VR Contractor. VR Staff and/or VR Contractors will have five (5) business days to review the resume/mock application and provide feedback to the Provider. Sample Job Development Plan will be included in the VR Forms folder available in the Provider Section of OOD’s website (www.ood.ohio.gov). GENERAL INFORMATION FIELD ENTRY TYPE INFORMATION PROVIDER NAME TEXT Enter the name of the Provider, as it appears on VR Original Authorization & Billing JOB DEVELOPER(S) NAME(S) TEXT Enter the full name, first and last, and initials of the Direct Staff who provided the service. JOB SEEKER NAME TEXT Enter the full name, first and last, of the Individual who received the service. COUNSELOR/CONTRACTOR NAME TEXT Enter the full name of the VR Counselor or VR Contractor assigned to manage services. The name can be located in the right-mid section of the VR Original Authorization & Billing EMPLOYMENT NEEDS FIELD ENTRY TYPE INFORMATION EMPLOYMENT GOAL TEXT Enter the Employment Goal as identified on the Referral to Facility. Providers may not pursue job leads outside the Employment Goal area unless the VR Staff and/or VR Contractor amend the IPE and provide a written notification to the Provider. WAGE GOAL TEXT Enter the specific wages that the Job Seeker has indicated as a requirement for a successful placement. Providers may not pursue Employment Goals that are below this wage threshold. HOURS GOAL TEXT Enter the specific number of hours that the Job Seeker has indicated as a requirement for a successful placement. Providers may not pursue Employment Goals that are below this number of hours.
VR%20Forms%20Instructions%20Examples.docx