SEC

ESS-C-253 Extended Services Statement (Rev. 2022-09-12)

The EC will develop and plan for extended services to be used once the individual's DRS case is closed. The EC will work in conjunction with DRS Counselor, the individual, any relevant persons identified by the individual, the DDS Case manager if the individual qualifies for DDS Services, Tribal Counselor, employer, etc to establish the extended services needed by the individual once DRScase is closed. The ESS-C-253 Extended Services Statement will be developed and extended services will be established during the SE ST Milestone and during SES Onsite Support and Training Service.

ESS-C-225 (1) Record of Hours Worked (Rev. 2021-09-23)

The EC will complete the ESS-C-225 (1) Record of Hours work for each week the consumer is employed. The documentation will include time spent providing on-site and off-site support and training to the consumer and the time spent making employer contracts. The EC will document specific training/support provided to the consumer. For your convenience, this contains the normal four weeks for most milestones or services. Use additional forms as needed for Employment Milestones or other milestones or services that exceed the normal timeframe.

ESS-C-157 Pre-Placement Information Form (Rev 2023-11-27)

The Contractor will use the ESS-C-157 Pre-Placement Form for the initial job placement only in the Supported Employment (SE), Employment and Retention (ER), Job Placement (JP), JOBS, and SES contracts (Onsite Support and Training Service and Extended Services for Transition Service). The form will be submitted by email to the DRS Counselor and ESS TA on or before the first day of employment. Retain in the case file and submit a copy with documentation for payment.

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