Customized Employment Services Contract and Forms

Job Seekers Pages

DRS Programs

Employment Support Services

OK Library for the Blind and Physically Handicapped
300 N.E. 18th Street
Oklahoma City, OK 73105

Office: (405) 522-2123
Toll Free: (800) 523-0288
Fax: (405) 522-2139

Email ESS

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Contract Specific Forms

CE Discovery Activity Log/Notes - ESS-C-105
CE Discovery Activity Log/Notes. Rev 2024-11-20
CE Discovery Activity Log/Notes ESS-C-105
CE Discovery Activity Log/Notes. Rev 2024-11-20
CE Discovery Intake - ESS-C-109
CE Discovery Intake.. Rev 2024-11-20
CE Discovery Profile Summary - ESS-C-113
CE Discovery Profile Summary. Rev 2025-01-06
CE Employer Contact List -ESS-C-201
CE Employer Contact List. Rev 2024-11-20
CE Employer Development Report - ESS-C-217
CE Employer Development Report. Revised 2024-11-20
CE Job Coaching Report - ESS-C-221
CE Job Coaching Report. Rev 2024-11-20
CE Maintenance Report - ESS-C-245
CE Maintenance Report Revised 2024-11-20
CE Negotiation Form - ESS-C-209
Revised 2024-11-20
Zip file of all CE forms
Zip file of all CE forms for you to easily download to your computer

FY 2025 Contracts - General Forms

Assessment Milestone Report - ESS-C-310
Rev 2023-01-05
Authorization Request and Invoice - ESS-C-801
Rev 2024-08-01
Contractor Staff and Training Tracking Form - ESS-A-005
Contractor Staff and Training Form. Rev. 2024-12-19
Customized Assessment(s) (ERC) - ESS-C-305n
Rev 2022-09-08
DRS Counselor Monthly Update Form - ESS-C-133
Rev 2024-11-20
DRS Counselor Response to ESS-C-278 Plan for Assessment ESS-C-278n
Rev 2022-07-08
Educational Experience Report (when in training) - ESS-C-710
Rev 2022-08-31
EM Record of Hours Worked for EM 90-Day Milestones-Services - ESS-C-225 (4)
(Rev 2022-09-22)
Employee Performance Report - ESS-C-810
Rev 2022-09-02
Employee Satisfaction Survey - ESS-C-249
Rev 2021-09-09
Employment Outcome Report - ESS-C-266
Employment Outcome Report. Rev 2024-11-22
Employment Verification Form
Rev 2022-09-21
HC ST Record of Hours Worked for EM 16 Week Milestones - ESS-C-225 (2)
Rev 2022-09-22
Incentive Payment Request Form - ESS-A-020
Rev 2023-04-18
Incentive Payment Request Form - ESS-A-020
Incentive Payment Request Form. Rev 2025-01-21
Instructions for ESS-C-145n
Rev. 2022-08-12
Instructions for ESS-C-149n
Rev. 2022-08-12
Instructions for ESS-C-153n
Rev. 2022-08-12
Instructions for ESS-C-197n
Rev. 2022-08-12
Instructions for ESS-C-213n
Rev. 2020-09-02
Instructions for ESS-C-237n
Rev. 2022-08-12
Instructions for ESS-C-285n
Rev. 2022-08-12
Instructions for ESS-C-289n
Rev. 2020-02-25
Instructions for ESS-C-361n
Rev. 2022-08-12
Instructions for ESS-C-377n
Rev. 2020-02-25
Job Accommodation Form - ESS-C-185
Job Accommodation Form. Rev 2024-11-20
Job Analysis - ESS-C-161 (1)
Rev 2022-09-22
Job Analysis - ESS-C-161 (2)
ESS-C-161 Job Analysis. Rev 2022-09-22
lan for Assessment - ESS-C-278 P
Rev 2022-09-12
Placement Report - ESS-C-166
Rev. 2022-09-12
Pre-Placement Information Form - ESS-C-157
Rev 2024-08-16
R4 (4 Weeks Employment) Report- ESS-C-338
Rev 2023-08-09
Record of Hours Worked - ESS-C-225
Record of Hours Worked. Rev 2024-11-22
Situational Assessment Report - ESS-C139
Rev 2022-09-12
Team Meeting Report - ESS-C-173
Team Meeting Report. Rev 2025-01-21
Termination & Re-Placement Report - ESS-C-181
Termination & Replacement Report - Rev 2024-11-21
Travel Log and Invoice - ESS-C-117
Travel Log and Invoice. Rev. 2024-12-23