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Supplemental Employment Services Contract and Forms

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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000c Sample FY 2025 Contracts.zip

Download: FY25 (Final-Sample) Contracts.zip

000f FY 2023 All Forms (Official) (ZIP File) (132 MB)

Download: 000f FY 2023 All Forms (Official).zip

000fc All FY 2024 All Contracts All Forms Checklists (Official) (PDF)

Download: All FY 2024 All Contracts All Forms Checklists into single PDF file

008c FY 2023 (SES-0) Contract Forms Checklists Zip File(2022-09-14)

Download: 008c FY 2023 (SES-0) Contract Forms Checklists (2022-09-14)

008f FY25 Supplemental Employment Services Contract SES PDF

Download: FY25 Supplemental Employment Services Contract Final-Sample

008fc FY 2023 SES Forms (Official)

Download: 008fc FY 2023 [SES-0] Contract Forms Checklists (Rev 2022-09-14).zip

ESS-C-117 Travel Log and Invoice (Rev. 2024-03-06)

Download: ESS-C-117 Travel Log and Invoice (Rev 2024-3-06).pdf

ESS-C-133 DRS Counselor Monthly Update Form (Rev. 2021-08-11)

Download: ESS-C-133 DRS Counselor Monthly Update Form (Rev. 2021-08-11)

ESS-C-137 Plan of Career Exploration (Rev 2022-08-10)

Download: ESS-C-137 Plan of Career Exploration (Rev 2022-08-10)

ESS-C-141 Career Exploration Report (Rev. 2021-06-21)

Download: ESS-C-141 Career Exploration Report

ESS-C-145n DRS Counselor Response to ESS-C-137 Plan of Career Exploration

Download: ESS-C-145n DRS Counselor Response to Plan of Career Exploration

ESS-C-149n Contractor's Written Justification for completing less than three (3) different activities (Rev. 2022-08-12)

Download: ESS-C-149n Contractor's Written Justification for completing less than 3 different activities (Rev 2022-08-12)

ESS-C-153n DRS Counselor Written Approval for completing less then three (3) different activities (if needed) Rev 2022-08-12

Download: ESS-C-153n DRS Counselor Written Approval for completing less than three (3) different activities (if applicable)

ESS-C-157 Pre-Placement Information Form (Rev 2023-11-27)

Download: ESS-C-157 Pre-Placement Information Form (Rev 2023-11-27)

ESS-C-161 (1) Job Analysis (Rev 2022-09-22)

Download: ESS-C-161 Job Analysis (1) Rev 2022-09-22

ESS-C-165 Internship Placement Report (Rev 2022-09-14)

Download: ESS-C-165 Internship Placement Report (Rev 2022-09-14)

ESS-C-166 Job Development & Placement Report (Rev. 2023-12-08)

Download: ESS-C-166 Job Development & Placement Report (Rev 2023-12-08)

ESS-C-169 Internship Time Log

Download: ESS-C-169 Internship Time Log

ESS-C-173 Team Meeting Report (Rev. 2022-09-12)

Download: ESS-C-173 Team Meeting Report (Rev 2022-09-12)

ESS-C-177 Placement Report (Internship) (Rev. 2022-08-24)

Download: ESS-C-177 Placement Report (Permanent placement from Internship) (Rev 2022-08-24)

ESS-C-181 Termination & Re-Placement Report

Download: ESS-C-181 Termination & Re-Placement Report (Rev 2023-11-27)

ESS-C-185 Job Accommodation Form (Rev 2022-09-09)

Download: ESS-C-185 Job Accommodation Form (Rev 2022-09-09)

ESS-C-197n Internship Agreement Documentation (Rev 2022-08-12)

Download: ESS-C-197n Internship Agreement Documentation (Rev 2022-08-12)

ESS-C-213n O*NET median hourly wage documentation (for in-house placement only) (Rev. 2022-09-02)

Download: ESS-C-213n O*NET median hourly wage documentation (Rev 2022-09-02)

ESS-C-225 (1) Record of Hours Worked (Rev. 2021-09-23)

Download: ESS-C-225 Record of Hours Worked (Rev 2022-09-23)

ESS-C-229 Natural Supports & Fading Plan (Rev 2023-08-09)

Download: ESS-C-229 Natural Supports & Fading Plan (Rev 2023-08-09)

ESS-C-237n Current Pay Stub or Earnings Statement (Rev 2022-08-12)

Download: ESS-C-237n Current Pay Stub or Earnings Statement (Rev 2022-08-12)

ESS-C-241 Onsite Supports and Training Report (Rev 2021-09-02)

Download: ESS-C-241 Onsite Supports and Training Report (Rev 2021-09-02)

ESS-C-249 Employee Satisfaction Survey (Rev. 2021-09-09)

Download: ESS-C-249 Employee Satisfaction Survey (Rev 2021-09-09)

ESS-C-253 Extended Services Statement (Rev. 2022-09-12)

Download: ESS-C-253 Extended Services Statement (Rev 2022-09-12)

ESS-C-261 Extended Services Report (Rev. 2021-09-02)

Download: ESS-C-261 Extended Services Report (Rev 2021-09-02)

ESS-C-801 SES Authorization Request & Billing Form (Rev 2023-11-23)

Download: ESS-C-801 SES Authorization Request & Invoice (Rev 2023-11-27)

ESS-C-810 Employee Performance Report (Rev 2022-09-02)

Download: ESS-C-810 Employee Performance Report (Rev 2022-09-02).pdf

ESS-P-182 SE-SES Termination & Re-Placement Packet SE-SES (Rev 2022-09-21

Download: ESS-P-182 SE-SES Termination & Re-Placement Packet SE-SES (Rev 2022-09-21).pdf

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