Your search for "Voc Improvement" returned 25 documents.
| Title | Type | Number |
|---|---|---|
| Ability to Work Assessment Work History
Stand-alone document that can be used with all Ability to Work Assessment outcomes. |
Form | F252-096-000 |
| Ability to Work Eligible Assessment Closing Report
Used by rehabilitation providers to document in a vocational assessment that a worker needs further services. |
Form | F252-084-000 |
| Accountability Agreement
Also available in: Spanish This document provides the facts necessary to make an informed decision regarding vocational retraining benefits and explains the responsibilities you and your vocational counselor (VRC) have. For OJT retraining plans, please refer to form F280-029-000. |
Form | F280-016-000 |
| Assessing Your Ability to Work: Your Rights and Responsibilities -- Spanish (Evaluando su Capacidad para Trabajar: Sus Derechos y Responsabilidades, Servicios de Rehabilitación Vocacional)
Also available in: English Booklet: Explains the basics of the assessment phase of vocational services to injured workers. L&I sends this booklet to injured workers when they are referred for assessment services. |
Publication | F280-017-999 |
| Assessment Eligible Quality Assurance Review Form
For use internally by L&I Vocational Service Specialists (VSSs) to determine if all required components are included in the submitted assessment. Can be used by VRCs as a tool. DO NOT SUBMIT TO L&I. |
Form | F280-008-000 |
| Option 2 Vocational Benefits Training Enrollment Application and Verification
Also available in: English/Spanish State fund workers who have selected Option 2 and closed their claim can use this form to apply for access to their Option 2 training funds. To seek reimbursement, use form F245-030-000 Statement for Retraining and Job Modification Services. |
Form | F280-024-000 |
| Option 2 Vocational Benefits Training Enrollment Application/Aplicación y Verificación del Registro (English/Spanish)
Also available in: English State fund workers who have selected Option 2 and closed their claim can use this form to apply for access to their Option 2 training funds. To seek reimbursement, use form F245-030-000 Statement for Retraining and Job Modification Services. |
Form | F280-024-909 |
| Plan Development: What Are My Rights & Responsibilities -- Spanish (Plan de Desarrollo: ¿Cuáles son mis Derechos y Responsabilidades? Servicios de Rehabilitación Vocacional)
Also available in: English Booklet: Explains the basics of the plan development phase of vocational services to injured workers. L&I sends this booklet to injured workers when they are referred for plan development services. The assigned vocational rehabilitation counselor is required to review this booklet with the worker at their initial face-to-face meeting. |
Publication | F280-018-999 |
| Self-Insurance Vocational Reporting Form
Used by self-insured employers and their representatives to report to L&I an injured worker's eligibility for vocational services or ability to work. This replaces F207-121-000 Employability Assessment Report (EAR). |
Form | F207-190-000 |
| Training Plan Cost Encumbrance
To record the training costs. For use only with plans approved after 1/1/2008. |
Form | F245-374-000 |
| Transportation Cost Encumbrance
To record the costs for transportation. For use only with plans approved after 1/1/2008. |
Form | F245-375-000 |
| Assessing Your Ability to Work: Your Rights and Responsibilities
Also available in: Spanish Booklet: Explains the basics of the assessment phase of vocational services to injured workers. L&I sends this booklet to injured workers when they are referred for assessment services. |
Publication | F280-017-000 |
| Assessment Closing Report
Used by only private sector vocational rehabilitation providers to document vocational assessment to determine if a worker is employable based upon transferable skills or needs further vocational services such as retraining. |
Form | F252-029-000 |
| Assessment Recommending Plan Development Eligible Routing Sheet
Routing slip that accompanies the Vocational Services Closing Cover Sheet (F252-028-000) which is used to close vocational services to an injured worker only if you are recommending Plan Development. For all other closing reports, use Vocational Closing Report Routing Sheet (F252-027-000). |
Form | F280-014-000 |
| Carrying Out Your Vocational Plan: Your Rights and Responsibilities During Plan Implementation
Also available in: Spanish Booklet: Explains the basics of the plan implementation phase of vocational services to injured workers. L&I sends this booklet to injured workers once the vocational plan they submitted is approved. Information about continuing with the vocational plan or selecting Option 2 to decline retraining is included. |
Publication | F280-019-000 |
| Carrying Out your Vocational Plan: Your Rights and Responsibilities During Plan Implementation -- Spanish (Llevando a cabo su Plan vocacional: Sus derechos y responsabilidades
durante el Plan de Implementación, Servicios de rehabilitación vocacional)
Also available in: English Booklet: Explains the basics of the plan implementation phase of vocational services to injured workers. L&I sends this booklet to injured workers once the vocational plan they submitted is approved. Information about continuing with the vocational plan or selecting Option 2 to decline retraining is included. |
Publication | F280-019-999 |
| Housing and Board Cost Encumbrance
To record the costs for housing and board. For use only with plans approved after 1/1/2008. |
Form | F245-372-000 |
| OJT Information Request and Recommendation form
VRCs can use this form to request information on a specific on -the -job (OJT) training opportunity listed on L&I's website, or to recommend an OJT training opportunity. |
Form | F280-032-000 |
| Option 2: What You Need to Know, Vocational Rehabilitation Services
Booklet: Explains what happens when an individual selects "Option 2" and choose not to participate in the approved training plan. |
Publication | F280-036-000 |
| Plan Development Quality Assurance Review Form
For use internally by L&I Vocational Service Specialists (VSSs) to determine if all required components are included in the submitted plan. Can be used by VRCs as a tool. DO NOT SUBMIT TO L&I. |
Form | F280-007-000 |
| Plan Development Recommending Plan Approval Routing Sheet
Routing slip that accompanies the Vocational Services Closing Cover Sheet (F252-028-000) which is used to close vocational services to an injured worker only if you are recommending Plan Approval. For all other closing reports, use Vocational Closing Report Routing Sheet (F252-027-000). |
Form | F280-013-000 |
| Plan Development: What Are My Rights & Responsibilities?
Also available in: Spanish Booklet: Explains the basics of the plan development phase of vocational services to injured workers. L&I send this booklet to injured workers when they are referred for plan development services. The assigned vocational rehabilitation counselor is required to review this booklet with the worker at their initial face-to-face meeting. |
Publication | F280-018-000 |
| Plan Time Encumbrance
To record the work plan time. For use only with plans approved after 1/1/2008. |
Form | F245-376-000 |
| Vocational Closing Report Routing Sheet
Routing slip that accompanies the Vocational Services Closing Cover Sheet (F252-028-000) which is used to close vocational services to an injured worker. |
Form | F252-027-000 |
| Vocational Services Closing Cover Sheet
Used to close vocational services of an injured worker. This form is attached to Vocational Closing Report Routing Sheets F280-013-000, F280-014-000 or F252-027-000. |
Form | F252-028-000 |
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