Skip to main content

Supplemental Employment Services Contract Specific and General Contract Forms

Right click pdf files to open in a new tab. Word, Excel and Zip files will download to your computer.

SES Contract Specific 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

Career Exploration Report - ESS-C-141
Rev. 2021-06-21
Compatibility Analysis - ESS-C-297
Rev 2022-09-12
Comprehensive Vocational Profile - ESS-C-329
Rev. 2020-02-21
Copies of summary pages from vocational interest inventories - ESS-C-317n
Rev 2022-09-08
ESS-C-278 Plan for Assessment Rev 2025-05-20
Plan for Assessment
ESS-C-310 Assessment Report Rev 2025-04-17
SES Assessment Report
Highly Challenged Criteria Form - ESS-C-413
Rev 2022-09-13
Internship Placement Report - ESS-C-165
Rev 2022-09-14
Internship Time Log - ESS-C-169
Internship Time Log - Rev 2022-12-30
Job Analysis - ESS-C-161
Job Analysis. Rev 2024-11-21
Job Club Certificate of Completion - ESS-C-325
Rev 2022-09-12
Job Club Sign-In Sheet - ESS-C-321
Revised 2022-09-12
Job Development and Placement Report - ESS-C-166
Rev. 2024-11-20
Placement Report - ESS-C-166
Job Development & Placement Report. Rev. 2024-11-20
Placement Report - Permanent Placement from Internship - ESS-C-177
Rev 2025-04-14
Plan of Career Exploration - ESS-C-137
Rev 2025-04-14
Pre-Placement Information Form Initial Placement only-- ESS-C-157
Rev 2024-11-21
SES AS Forms Checklist
Rev 2025-03-26
SES Job Development & Placement SES JDPL Forms Checklist
SES JDPL Forms Checklist
SES Job Development & Placement SES VP (Job Club) Forms Checklist
SES VP Forms Checklist

General Contract Forms

R4 (4-weeks) Employment Report - ESS-C-338
Rev 2024-11-21
Assessment Report - ESS-C-310
Rev 2023-01-05
Community Rehabilitation Provider (CRP) Invoice - ESS-C-802
02-05-2026
Community Rehabilitation Provider Invoice
Rev 04-23-2026
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 Contracts Codes/Rates Schedule
04-22-2026
ESS-C-117 Travel Log and Invoice
Travel Log and Invoice
ESS-C-133 DRS Counselor Monthly Update Form Rev 2025-04-14
Rev 04-14-2025
ESS-C-278 Plan for Assessment
Rev 05-20-2025 Plan for Assessment
ESS-C-801 CRP Authorization Request Form
Rev 04-28-2026
Highly Challenged Criteria Form-ESS-C-413
Rev 11-04-2025
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
DRS Counselor Response to ESS-C-137 Plan of Career Exploration 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
Team Meeting Report - ESS-C-173
Rev 11-12-2025
Termination & Re-Placement Report ESS-C-181
Rev 2025--04-09

Last Modified on Feb 10, 2026