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Supported Employment Program (SEP) and Vocational Rehabilitation/Work Activity Program (VR/WAP) Forms, Publications, and Correspondence
Several SEP and VR/WAP forms are available via the internet.
SEP and VR/WAP English forms and publications are also available in alternative formats. Information follows below on ordering these and other items not available online.
For PDF documents, please read our "About PDF" page for accessibility requirements.
Some links below may be external to the California Department of Rehabilitation, which accepts no responsibility for their content or accessibility.
DOR State Plan 2010 - SEP/WAP Collaboration Effectiveness Survey 9-09
The Department of Rehabilitation (DOR) is surveying DOR staff, Community Rehabilitation Programs (CRPs)/service providers, local education agencies (LEAs), and regional centers to gauge the effectiveness of Supported Employment collaboration efforts between DOR, DDS, DMH and DOE. This survey will take approximately 15 minutes to complete. The survey will close as of September 30, 2009.
DOR State Plan 2010 - SEP/WAP Collaboration Effectiveness Survey 9-09
Please forward the link to this survey to your colleagues and partners so that we can assess the needs of as many stakeholders as possible. The information gathered will be used to assess staff and stakeholder needs. Results will enable DOR and its partners to prioritize new projects according your preferences, plan relevant local trainings, and develop new collaboration strategies for future DOR State Plans.
Thank you for your participation.
SEP AND VR/WAP FORMS
- VR/WAP Forms
- DR371 Notice of Action in RTF (DR371 in accessible PDF) (DR371 in MS Word)
- DR372 Monthly Work Services Report in RTF (DR372 in accessible PDF) (DR372 in MS Word)
- DR373A Work Services Invoice Summary in RTF (DR373A in accessible PDF) (DR373A in MS Word)
- DR373B Work Services Invoice Detail in RTF (DR373B in accessible PDF) (DR373B in MS Word)
- DR373A&B Work Services Invoice Summary and Detail in MS Excel
- Supported Employment Forms
- DR381 Job Placement Parameters in RTF (DR381 in accessible PDF) (DR381 in MS Word)
- DR382 Placement Services Progress Report in RTF (DR382 in accessible PDF) (DR382 in MS Word)
- DR383 Job Placement Information in RTF (DR383 in accessible PDF) (DR383 in MS Word)
- DR384 Monthly Job Coach Report in RTF (DR384 in accessible PDF) (DR384 in MS Word) (DR384 in MS Excel)
- DR384A Proposed Plan to Improve Performance in RTF (DR384A in accessible PDF) (DR384A in MS Word)
- DR385A Invoice Summary in RTF (DR385A in accessible PDF) (DR385A in MS Word)
- DR385B Invoice Detail (Individual Placement) in RTF (DR385B in accessible PDF) (DR385B in MS Word)
- DR385A&B Invoice Summary and Detail (Individual Placement) in MS Excel
- DR386 Invoice Discrepancy Notice in RTF (DR386 in accessible PDF) (DR386 in MS Word) (DR386 in MS Excel)
- DR387 Notice of Transition to Extended Services in RTF (DR387 in accessible PDF) (DR387 in MS Word)
- Department of Developmental Services Habilitation Forms including DS 1964 - Supported Employment Group Billing and Attendance Form (Group Placement)
SEP AND VR/WAP PUBLICATIONS
Rehabilitation Administration Manual Chapter 31 (RAM31) Supported Employment Program (new February 2008) provides guidance to the Senior Vocational Rehabilitation Counselor (SVRC), Rehabilitation Supervisor (RS), and support staff as well as community rehabilitation programs providing Supported Employment services. SVRCs should use RAM31 as a guide to assure the provision of appropriate services to individuals with the most significant disabilities for whom supported employment has been determined necessary to achieve the rehabilitation objective. Please direct requests for PDF copies of RAM31 to the Centralized Services Section at centsvs@dor.ca.gov to the attention of the Supported Employment Coordinator. Braille copies are available on request.
SEP AND VR/WAP CORRESPONDENCE
- 07/02/2009 Memo – Subject: VR/WAP Program – Authorizations and Invoices
- 2008 Supported Employment Program Rates – Letter to Service Providers (RTF)
- 2008 Supported Employment Program Rates – Letter to Service Providers (WORD)
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