Job Placement Contract Forms and General Contract 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 Rev 2025-04-08
- 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