Supplemental Employment Services Contract and 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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000c Sample FY 2025 Contracts.zip
Download: FY25 Final-Sample Contracts.zip
ESS-C-801 Authorization Request & Billing Form Rev 2024-08-01
Download: ESS-C-801 Authorization Request & Invoice Rev 2024-08-01
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)
ESS-C-153n DRS Counselor Written Approval for completing less then three (3) different activities (if needed) Rev 2022-08-12
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)
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)
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)
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)
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 Authorization Request & Billing Form Rev 2024-08-01
Download: ESS-C-801 Authorization Request & Invoice Rev 2024-08-01
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
