Materials for Prospective ENs

Employment Network Request for Proposal (EN RFP) (.pdf format)

Ticket to Work Basics (.pdf format)

Overview of New Ticket to Work Regulations (.pdf format)

Ticket to Work Building Success

Brochure (.pdf format) Inserts (.pdf format)

EN Resources (.pdf format)

Center for Independent Living (.pdf format)

WISE Flyer (.pdf format)

Employers Fact Sheet  

Beneficiary Fact Sheet  (.pdf format)

Timely Progress Guidelines (word format)

General Publications about working

Department of Justice information on the Americans with Disabilities Act (ADA)

Social Security: If You Are Blind How We Can Help

Social Security Working While Disabled...How We Can Help

Social Security: What You Need To Know When You Get Disability Benefits

SSA information on the ADA

The Ticket to Work and Self Sufficiency Program

Ticket to Work POMS

SSI

Social Security: What You Need to Know When You Get SSI

SSI State Supplement Fact Sheets

Social Security Working While Disabled...A Guide to Plans for Achieving Self-Support (PASS)

SSA Form 545 - Plan for Achieving Self-Support
Available in Braille and Disk format. To order click here.

Forms

Appointment of Representative

Certificate of Incapacity (.pdf format)

Consent for Release of Information (.pdf format)

EN Payment Request form

Authorization to Disclose Information to SSA

Request for Hearing by Administrative Law Judge

Request for Reconsideration

Request for Waiver of Overpayment  (.pdf format)
Beneficiaries can submit a Request for Reconsideration more than once before requesting a waiver

Request for Work Activity Report, Employee (.pdf format)

Request for Work Activity Report, Self-Employed (.pdf format)

Ticket Assignment Form (.pdf format)

Checklists for Meetings with Service Provider

Checklist of items to bring when visiting an Area Work Incentive Coordinator (AWIC) or Work Incentive Liaison (WIL)

Checklist of items to bring when visiting a Vocational Rehabiliation (VR) State Agency

Checklist of items to bring when visiting a Work Incentives Planning and Assistance (WIPA) Project

Checklist of items to bring when visiting an Employment Network (EN)

Fact Sheets

Department of Labor Fact Sheets on Employment

Employment Network Fact Sheet

Protection and Advocacy (P&A) Fact Sheet

Work Incentives Planning and Assistance (WIPA) Fact Sheet

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