Support Services for Employment 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
Right click pdf files to open in a new tab. Word, Excel and Zip files will download to your computer.
Contract Specific Forms
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Daily Living Assessment - ESS-C-353-4
Daily living assessment Rev 2020-02-19
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ESS Assessment Referral - ESS-C-353-0
ESS Assessment Referral to CRP - Rev 2022-08-24
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Transportation Assessment - ESS-C-353-8
Assessment to assist in determining transportation needs for employment
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Cognitive Assessment - ESS-C-353-1
Cognitive Assessment Rev 2020-02-19
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Communication Assessment - ESS-C-353-2
Rev. 2020-02-19
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Computer Technology Assessment - ESS-C-353-3
Assessment to determine level of computer literacy
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ESS Assessment Summary - ESS-C-353-9
Rev. 2022-03-09
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ESS Training Support Plan - ESS-C-357
ESS Training Support Plan - Rev 2023-01-06
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ESS Training Support Plan - ESS-C-357
ESS Training Support Plan - Rev 2022-08-23
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Housing Assessment - ESS-C-353-5
Rev. 2022-02-11
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Instructions for ESS Training Support Plan - ESS-C-358n
Email to DRS Counselor prior to beginning services. If not answer in 5 days, begin providing services. If answer received, save and submit copy with documentation for payment.
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Mobility Assessment - ESS-C-353-6
Mobility Assessment for employment Rev 2022-08-24
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SSE Training Support Summary - ESS-C-365
Rev 2025-01-21
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Tolerance Assessment - ESS-C-353-7
Work and Training Tolerance Assessment - Rev 2020-02-19
FY2025 General Forms
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Authorization Request & Invoice - ESS-C-801
Rev 2025-03-17
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DRS Counselor Monthly Update Form - ESS-C-133
Rev 2025-04-14
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R4 (4-weeks) Employment Report - ESS-C-338
Rev 2024-11-21
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Assessment Report - ESS-C-310
Rev 2023-01-05
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Contractor Staff and Training Tracking Form - ESS-A-005
Rev 2025-02-12
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Customized Assessment(s) (ERC) - ESS-C-305n
Rev 2022-09-08
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DRS Counselor Response to ESS-C-278 Plan for Assessment ESS-C-278n
Rev 2022-07-08
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Educational Experience Report (when in training) - ESS-C-710
Rev 2022-08-31
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EM Record of Hours Worked (4) for EM 90-Day Employment Services - ESS-C-225
Rev 2022-09-22
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Employee Performance Report - ESS-C-810
Rev 2022-09-02
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Employee Satisfaction Survey - ESS-C-249
Rev 2025-04-15
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Employment Outcome Report - ESS-C-266
Employment Outcome Report. Rev 2024-11-22
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Employment Verification Form
Rev 2022-09-21
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ESS-C-133 DRS Counselor Monthly Update Form (Rev 2024-11-20)
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Incentive Payment Request Form - ESS-A-020
Rev 2023-04-18
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Incentive Payment Request Form - ESS-A-020
Incentive Payment Request Form. Rev 2025-01-21
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Instructions for ESS-C-145n
Rev. 2022-08-12
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Instructions for ESS-C-149n
Rev. 2022-08-12
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Instructions for ESS-C-153n
Rev. 2022-08-12
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Instructions for ESS-C-197n
Rev. 2022-08-12
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Instructions for ESS-C-213n
Rev. 2020-09-02
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Instructions for ESS-C-237n
Rev. 2022-08-12
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Instructions for ESS-C-285n
Rev. 2022-08-12
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Instructions for ESS-C-289n
Rev. 2020-02-25
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Instructions for ESS-C-361n
Rev. 2022-08-12
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Instructions for ESS-C-377n
Rev. 2020-02-25
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Job Accommodation Form - ESS-C-185
Job Accommodation Form. Rev 2024-11-20
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Job Analysis - ESS-C-161 (1)
Rev 2022-09-22
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Job Analysis - ESS-C-161 (2)
ESS-C-161 Job Analysis. Rev 2022-09-22
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Placement Report - ESS-C-166
Rev. 2022-09-12
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Plan for Assessment - ESS-C-278
Rev 2022-09-12
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Pre-Placement Form - ESS-C-157
Rev 2025-04-08-Pre-Placement Form
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Record of Hours Worked - ESS-C-225
Record of Hours Worked. Rev 2024-11-22
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SE HC ST Record of Hours Worked (2) for EM 16 Week of Employment - ESS-C-225
Rev 2022-09-22
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Situational Assessment Report - ESS-C139
Rev 2022-09-12
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Termination & Re-Placement Report ESS-C-181
Rev 2025--04-09
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Travel Log and Invoice - ESS-C-117
Travel Log and Invoice. Rev. 2024-12-23
