ERC

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.

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.

ESS-C-274 ER Authorization Request & Invoice (Rev. 2023-08-09))

The EC will complete the ESS-C-274 Authorization Request form when requesting authorization to begin work on the first milestone and for each subsequent milestone(s). The EC may request either the Assessment and Vocational Preparation Milestones or Assessment, JDPL, and R4 with the first Authorization Request. Then will request up to 2 milestones for the remainder of the contract services. The same form will be used to invoice the DRS Counselor for payment when each milestone is completed.

Pages