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Forms & Publications

 
  • Materials for Prospective ENs
  • General Publications about working
  • SSI
  • Forms
  • Checklists
  • Fact Sheets
  • Materials for Prospective ENs

    Employment Network Request for Proposal (EN RFP) (.pdf format)blank spaceAdobe Reader Download Page

    Ticket to Work Basics (.pdf format)blank spaceAdobe Reader Download Page

    Overview of New Ticket to Work Regulations (.pdf format)blank spaceAdobe Reader Download Page

    Employers Handbook (.pdf format)blank spaceAdobe Reader Download Page

    Partnership Plus (.pdf format)blank spaceAdobe Reader Download Page

    Ticket to Work Building Success

    Brochure (.pdf format)blank spaceAdobe Reader Download Page Inserts (.pdf format)blank spaceAdobe Reader Download Page

    EN Resources (.pdf format)blank spaceAdobe Reader Download Page

    Center for Independent Living (.pdf format)blank spaceAdobe Reader Download Page

    WISE Flyer (.pdf format)blank spaceAdobe Reader Download Page

    Employers Fact Sheet  Adobe Reader Download Page

    Beneficiary Fact Sheet  (.pdf format)blank spaceAdobe Reader Download Page

    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)blank spaceAdobe Reader Download Page

    Consent for Release of Information (.pdf format)blank spaceAdobe Reader Download Page

    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)blank spaceAdobe Reader Download Page
    Beneficiaries can submit a Request for Reconsideration more than once before requesting a waiver

    Request for Work Activity Report, Employee (.pdf format)blank spaceAdobe Reader Download Page

    Request for Work Activity Report, Self-Employed (.pdf format)blank spaceAdobe Reader Download Page

    Ticket Assignment Form (.pdf format)blank spaceAdobe Reader Download Page


    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

    Request a publication in an alternative format



     


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    Last reviewed or modified Monday Oct 06, 2008
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