RESOURCES

 

Client Information

• Sample Client File Organization
   

Assessment

• SE Intake Form List
• Assessment Questions

 

Louisiana Rehabilitation Services (LRS) Supported Employment Forms

• Supported Employment (SE)
  • Supported Employment (SE) Milestone Summary Chart 2023
  • CBA:1 Community Based Assessment Report
  • CBA:1A Assessment Activities Log
  • CBA:2 Staffing Meeting Report
  • JSA:1 Monthly Job Search Assistance Progress Report
  • SE;2A Job Match Analysis
  • SE:3 Monthly Job Retention Monthly Progress Report
  • SE:4 Montly Job Coaching Time Log
  • SE:5 Natural Supports Plan
• Job Readiness and Work Ethic Training
  • RE 1 Job Readiness and Work Ethic Training
• Job Development and Placement (JDP)
  • Job Development and Placement (JDP) Summary Chart
  • JP1 Job Development and Placement Activites Log
  • JP2 Job Placement Feedback Report
• Pre-Employment Transition Services (Pre-ETS)
  • Pre-ETS ESV Employer Site Visit Form
  • Pre-ETS JS-1 Job Shadowing Form
  • Pre-ETS WBLE:1 Work Based Learning Experience(s) Activities Form
  • Pre-ETS WR Attendance & Progress Report
• Time Limited Job Coaching (TLJC)
  • Time Limited Job Coaching (TLJC) Milestone Summary Chart
  • TLJC1 Job Development and Placement Activities Log
  • TLJC2 Job Match Analysis
  • TLJC3 Time-Limited Job Coaching Time Log
  • TLJC4 Monthly Job Retention Progress Report
  • TLJC Forms Summary
• Trial Work Experience (TWE)
  • TWE:1 Trial Work Experience Assessment

 

Social Security Forms
*Some forms may download as Microsoft Word documents.
Check your downloads folder if you cannot find the form.

• Louisiana Work Incentives Planning & Assistance Rack Card
• 2023 Social Security Changes
• SSI Reduction Calculation Sheet
• IRWE (Impairment Related Work Expense) Request Template
• BWE (Blind Work Expense) Request Form
• Pass Plan SSA-545-BK (02-2020)
• Links for Social Security IRWE and PASS 
• SSI Wage Reporting
• SSI Telephone Wage Reporting Instructions
• Create a My Social Security Account

 

Association of Persons Supporting EmploymentFirst (APSE)

• APSE Universal Employment Competencies
• APSE Ethical Guidelines
• APSE Supported Employment Quality Indicators
• Barriers to Competitive Employment

 

Eligibility

• Choosing an Employment Agency
• Links for Louisiana Rehabilitation Services
• Louisiana Rehabilitation Services Frequently Asked Questions
• Louisiana Rehabilitation Services Regional Offices
• LRS Eligibility Meeting
• SSI Benefits Calculator

 

Job Development

• Employer Job Development Log
• Job Application Cheat Sheet
• Job Development Client Log
• Job Development Log
• Job Search Engines
• Role of Job Developer
• Job Development Clinic PowerPoint
• Myths and Facts About Workers with Disabilities

 

Job Placement

• Louisiana Work Opportunity Tax Credit (WOTC) Guide
• WOTC Calculator
• IRS Form 8850, Pre-Screening Notice and Certification Request for WOTC
• Instructions for Form 8850
• Client Face Sheet

 

On-the-Job Training

• Job Coach Fact Sheet
• Sequence of Job Duties
• Task Analysis Form