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Local Directives

Number Title Effective date

New Program Completion/Outcomes Form 2020

09/01/2020
24-182 Rev 1

Community Reinvestment Matched Investment Savings Accounts (MISA)
– New Account Authorization Letter 2025 (fillable)
– MISA Participant Information Form (9/2025 fillable)
– State Funded EcSA & CRP Monthly Performance Report & Incentive Form (fillable) 2025
– Savings Plan Agreement and Calculator (Excel) (2026 version)
– MISA Withdrawal Form
– MISA Emergency Withdrawal Form

07/01/2025
22-180 Rev 3

Federal and State Economic Security for All (EcSA)
– Self Sufficiency Calendar School Funding Worksheet (PDF)
– EcSA Eligibility Verification Checklist
– Priority Income Levels and LLSIL PY25 (updated Jan 2026)
– UW Self-Sufficiency Calculator Website
– Washington College Grant EcSA Eligibility Letter for Colleges

01/08/2026
22-179 Rev 4

Incentive Payments for State Funded EcSA Participants
– State Funded EcSA Incentives Agreement Form 2024
– State Funded EcSA & CRP Monthly Performance Report & Incentive Form (fillable) 2025
– Monthly Incentive Plan & Progress Tracker (fillable)

10/13/2025
20-177 Rev 3

TAA & WIOA Dislocated Worker Co – Enrollment

09/15/2021
20-176 Rev 1

Protecting Personally Identifiable Information (PII)

11/25/2024
19-175 Rev 2

Measurable Skill Gains

06/01/2023
18-172 Rev 7

Dislocated Worker Eligibility
– DW/QUEST Eligibility Verification Record NEW (7/2023)
– WIOA Application
– Self-Attestation Form (Adult/DW fillable)

07/01/2023
18-171 Rev 5

Individual Training Account
FERPA Release Forms for Community Colleges:

12/22/2023
18-170 Rev 3

Equal Opportunity Notice

03/01/2025
18-168 Rev 1

Youth Project Based Learning Incentives
– Performance Report & WBL Incentive Payment Form (fillable version)

03/01/2019
18-167 Rev 1

Individual Employment Plan for Adults/DWs
-IEP Worksheet (Word Document) (Fillable PDF)

07/10/2020
18-166

Workkeys Skills Certification

07/01/2018
18-165 Rev 3

CASAS for Basic Skills Assessment

06/01/2020
18-164 Rev 2

Follow-Up Services

06/01/2021
17-163 Rev 7

WIOA Youth Eligibility & Design Framework
– Application Packet
– Self-Attestation Form (Youth fillable)
– Youth Verification Record NEW (9/2025)
– Individual Service Strategy (ISS) Form (fillable)
 Priority Income Levels and LLSIL PY25

10/13/2025
17-162 Rev 5

Incumbent Worker Training
– Employer Application & Budget (pdf)
– Employer Application & Budget (Word)
– Employer Invoice & Match Form (Excel)
– Employer Payroll Match Form (Word)
– Training Budget (Excel)
– Employer W-9 Form
– IWT Data Entry Instructions

06/28/2024
17-160 Rev 5

Participant File Maintenance and Data Entry
Adult/DW/EcSA/DWG Participant File Checklist
Youth Participant File Checklist

09/12/2025
17-158 Rev 3

Self-Sufficiency & Underemployed

10/01/2020
17-157 Rev 4

Support Services & Needs-Based Payments
– Participant Financial Analysis (Fillable) NEW 3/2022
– Request for Support Form (Word) (fillable PDF)
– Rental Assistance Invoice
– Participant Reimbursement Form
– Childcare Assistance Invoice

07/01/2022
16-156 Rev 6

Youth Learning Incentives
– Monthly Performance Report & Incentive Payment (fillable PDF)

10/10/2023
16-150 Rev 4

Adult Eligibility and Priority
– Adult Eligibility/Priority Verification Record NEW (5-2023)
– Priority Income Levels and LLSIL PY25 (updated Jan 2026)
– WIOA Application
– Self-Attestation Form (Adult/DW fillable)

05/08/2023
16-136 Rev 3

Youth Workbased Learning

08/01/2019
14-124 Rev 2

Dislocated Worker Internship

07/01/2019
14-123 Rev 1

Adult Work Experience/Internship
Work Maturity Evaluations for Adult/DW/Youth WEXs & Internships (MS Word):
Appearance
Completing Tasks
Interpersonal
Positive Attitude
Attendance & Punctuality

02/01/2019
13-120 Rev 3

OJT Policy & Procedure

12/01/2022
12-108 Rev 3

Selective Service Registration

06/22/2023
11-97 Rev 1

ITA Tool Agreement/Request Form (Fillable PDF)

01/18/2019
LOG 13-09 Rev 2

Customer Concern & Complaint Resolution
– Discrimination Complaint Form (English – Fillable)
– Discrimination Complaint Form (Spanish – Fillable)
– Program Complaint Form (English – Fillable)
– Program Complaint Form (Spanish – Fillable)

07/01/2022