SEC

ESS-C-166 Job Development & Placement Report (Rev. 2023-12-08)

The ESS-C-166 Job Development & Placement Report will be completed by the EC when finishing the Placement Milestone in Supported Employment (SE), Employment & Retention (ER), and Job Placement (JP) contracts. (Counts as final DRS Monthly Update for milestone). The ESS-C-166 Placement Report form replaces the following forms:

ESS-C-333 ER PL Milestone Report;
ESS-C-381 JP PL Milestone Report;
ESS-C-41 SE PL Milestone Report

ESS-C-310 Assessment Milestone Report (Rev. 2022-09-12)

The EC will document on the ESS-C-310 Assessment Milestone Report the information obtained during the assessment(s). The EC will include on the form the individual's previous jobs, education level completed, training completed, job skills, their job/career interest, prospective employers and jobs identified, the supports and/or accommodations needed on the job, and the individual's expectations of work. The EC will summarize their observations and add additional comments at the end of the document.

ESS-C-266 Employment Outcome Report (Rev. 2022-09-13)

At the completion of the milestone, the EC will document the Employment information for the final milestone and submit it to the DRS Counselor for payment with the required documentation for payment. The EC will document any changes to the job duties or responsibilities, note any positive feedback or concerns by either individual, family member, co-workers, or employer, and note steps taken to resolve any concerns. They will document whether the individual has been approved for DDS services and if they haven't what other extended services will be utilized and who will pay for them.

ESS-C-278 Plan for Assessment (Revised 2022-09-12)

The EC will work with the individual to determine appropriate assessments and assessment sites and then will document these on the ESS-C-278 Plan for Assessment. The EC will email the ESS-C-278 Plan for Assessment to the DRS Counselor for approval and comments. If approved the DRS Counselor will email the signed ESS-C-278n Plan for Assessment back to the EC and they may proceed with the assessments. If the EC does not receive a response from the DRS Counselor within five (5) business days, they may proceed with the assessments.

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