Operational Directives & Forms

Number/Rev

Title

Effective Date

 

NEW Program Completion/ Outcomes Form 2020

9/1/2020

18-172 Rev 2

Dislocated Worker Eligibility

1/9/2020

 

- DW Eligibility Verification Record NEW (2020)

 

 

- Applicant Statement Form

 

 

- WIOA Application

 

18-171 Rev 1

Individual Training Account

3/1/2019

18-170 Rev 1

Equal Opportunity Notice

2/1/2019

18-168 Rev 1

Youth Project Based Learning Incentives

3/1/2019

 

- Performance Report & WBL Incentive Payment Form

 

18-167 Rev 1

Individual Employment Plan for Adults/DWs

7/10/2020

 

- IEP Worksheet (.docx) (Fillable PDF)

 

18-166

Workkeys Skills Certification

7/1/2018

18-165 Rev 3

CASAS for Basic Skills Assessment

6/1/2020

 

- WIN 0107 - Temporary Suspension of CASAS (COVID-19)

 

18-164 Rev 1

Follow-Up Services

6/1/2020

17-163 Rev 3

WIOA Youth Eligibility & Design Framework

10/6/2020

 

- Application Packet

 

 

- Youth Verification Record NEW (2020)

 

 

- Individual Service Strategy (ISS) Form NEW (2020)

 

17-162 Rev 2

Incumbent Worker Training

3/1/2019

 

- Employer Application

 

 

- Employer Invoice & Match Form (Excel)

 

 

- Employer Payroll Match Form (Word)

 

 

- Training Budget (Excel)

 

 

- Employer W-9 Form

 

 

- IWT Data Entry Instructions

 

17-160 Rev 2

Data – Service Entry & Case Notes

6/30/2020

17-158 Rev 3

Self-Sufficiency & Underemployed

10/1/2020

17-157 Rev 2

Support Services & Needs-Based Payments

3/30/2020

 

- Participant Financial Analysis (Fillable)

 

 

- Support Service Worksheet (Fillable)

 

 

- Rental Assistance Invoice

 

 

- Childcare Assistance Invoice

 

16-156 Rev 1

Youth Learning Incentives

7/1/2019

 

- Monthly Performance Report & Incentive Payment

 

16-150 Rev 3

Adult Eligibility and Priority

7/1/2020

 

- Adult Eligibility/Priority Verification Record NEW (2020)

 

 

- Applicant Statement Form

 

 

- Priority Income Levels PY20/21 (NEW)

 

 

- WIOA Application

 

16-136 Rev 3

Youth Workbased Learning

8/1/2019

14-124 Rev 2

Dislocated Worker Internship

7/1/2019

14-123 Rev 1

Adult Work Experience/Internship

2/1/2019

 

Work Maturity Evaluations for Adult/DW/Youth WEXs & Internships:

 

 

Appearance

 

 

Completing Tasks

 

 

Interpersonal

 

 

Positive Attitude

 

 

Attendance & Punctuality

 

13-120 Rev 2

OJT Policy & Procedure

12/13/2019

12-108

Selective Service Registration

12/14/2012

11-97 Rev 1

ITA Tool Agreement/Request Form

1/18/2019

LOG 13-09

Customer Concern & Complaint Resolution

12/1/2013

 

- Program Complaint Form (English - Fillable)

 

 

- Program Complaint Form (Spanish - Fillable)

 

 

- Discrimination Complaint Form (Fillable)

 

 

 
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