Employment and Retention Contract Forms and General Contract 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

ER EM Forms Checklist
Rev 2025-04-14
ER R4 Forms Checklist
Rev 2025-04-14
R4 (4-weeks) Employment Report - ESS-C-338
Rev 2024-11-21

FY2025 General Forms

Authorization Request & Invoice - ESS-C-801
Rev 2025-03-17
DRS Counselor Monthly Update Form - ESS-C-133
Rev 2025-04-14
R4 (4-weeks) Employment Report - ESS-C-338
Rev 2024-11-21
Assessment Report - ESS-C-310
Rev 2023-01-05
Contractor Staff and Training Tracking Form - ESS-A-005
Rev 2025-02-12
Customized Assessment(s) (ERC) - ESS-C-305n
Rev 2022-09-08
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 (4) for EM 90-Day Employment Services - ESS-C-225
Rev 2022-09-22
Employee Performance Report - ESS-C-810
Rev 2022-09-02
Employee Satisfaction Survey - ESS-C-249
Rev 2025-04-15
Employment Outcome Report - ESS-C-266
Employment Outcome Report. Rev 2024-11-22
Employment Verification Form
Rev 2022-09-21
ESS-C-133 DRS Counselor Monthly Update Form (Rev 2024-11-20)
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
Placement Report - ESS-C-166
Rev. 2022-09-12
Plan for Assessment - ESS-C-278
Rev 2022-09-12
Pre-Placement Form - ESS-C-157
Rev 2025-04-08-Pre-Placement Form
Record of Hours Worked - ESS-C-225
Record of Hours Worked. Rev 2024-11-22
SE HC ST Record of Hours Worked (2) for EM 16 Week of Employment - ESS-C-225
Rev 2022-09-22
Situational Assessment Report - ESS-C139
Rev 2022-09-12
Termination & Re-Placement Report ESS-C-181
Rev 2025--04-09
Travel Log and Invoice - ESS-C-117
Travel Log and Invoice. Rev. 2024-12-23