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Forms & Publications

 

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

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

Ticket to Work Resources (.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

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


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

Vocational Rehabilitation Provider Claim (.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 publications

Request a publication in an alternative format



 


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Last reviewed or modified Friday May 08, 2009
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