Job Placement Contract and Forms
Job Seekers Pages

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
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FY2025 Contract Specific Forms
- ESS-C-117 Travel Log and Invoice (when travel is authorized. See C. Service Rates.) Rev. 2024-12-23
- ESS-C-133 DRS Counselor Monthly Update Form(s) (email first two monthly updates to DRS Counselor as an attachment, submit separately from required documentation for payment, ESS-C-266 Employment Outcome Report counts as final monthly update) Rev. 2025-01-31
- ESS-C-225 Record of Hours Worked Rev. 2024-11-22
- ESS-C-237n Current Pay Stub/Earnings Statement
- ESS-C-249 Employee Satisfaction Survey
- ESS-C-266 Employment Outcome Report (counts as final DRS Monthly Update for JP EM Service) Rev 2024-11-22
- ESS-C-801 Authorization Request & Invoice Rev. 2025-03-17
If termination and/or replacement occurs:
- ESS-C-181 Termination/Re-Placement Report (when notified of termination, email to DRS Counselor and Cc ESS TA) Rev. 2024-11-21
- ESS-C-181 Termination/Re-Placement Report (before or on start date of re-placement, update the above form with new job information, email to DRS Counselor and Cc ESS TA) Rev. 2024-11-21
- ESS-C-185 Job Accommodation Form (for re-placement) 2024-11-20