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WIA Procedures & Forms

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The Office of Economic and Workforce Development has issued procedures and forms to be used when administering Workforce Investment Act (WIA) Programs.  

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WIA Adult Procedures & Forms

WIA Adult Service Provider Manual

WIA Adult Service Provider Manual Appendices

WIA Adult Forms

OEWD Adult Forms

Reference Forms
OJT Forms

WIA Youth Procedures & Forms

Youth Procedures

Standard Youth Forms (both WIA Youth and General Fund)

WIA Youth Forms

General Fund Forms

Reference Documents

Draft Procedures:

Adult Draft Procedures

Youth Draft Procedures

 

 

WIA Adult Procedures & Forms

 

Adult Service Provider Manual

100-A Universal Services
101-A Eligibility
102-A Core B Services
103-A Assessment
104-A.1 Individual Training Account (ITA) Procedures
104-A.2 Individual Training Account (ITA) Checklist
105-A Supportive Services
106-A Employment & Education Verification
107-A Business Services Job Development

108-A Retention Services

112-A Program Monitoring
113-A Invoicing WIA Grant Expenditures
114-A Participant File Format
115-A Transferring Files to Other Providers
116-A Monthly Reports
117-A On the Job Training (OJT)

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Appendices

Appendix A Adult Forms
Appendix B WIA Client Forms Handbook--Draft

Appendix G WIA Technical Employment Guidance Letter (TEGL)

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WIA Adult Forms

WIA Application (entered in Workforce Central)
WIA Enrollment (entered in Workforce Central)
WIA Exit (entered in Workforce Central)
WIA Follow-Up (entered in Workforce Central)
WIA DW Unlikely to Return Affidavit
WIA OJT Completion Evaluation
WIA OJT Contract Invoice and Trainee Timesheet

OEWD Program Monitoring

For additional monitoring information, please visit the Program Monitoring page.

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OEWD Forms

OEWD Form 100A Universal Adult Application
OEWD Form 101 WIA Title I Eligibility Verification Form
OEWD Form 102 Signed Participant Rights and Responsibilities Info (Rev. 7.2013)
OEWD Form 103 Supportive Service Payments Determination Certification
OEWD Form 104 Child Care Authorization
OEWD Form 105A Individual Employment Plan
OEWD Form 106A Core B to Intensive Services Determination
OEWD Form 107A Intensive to Training Services Determination
OEWD Form 108A ITA Worksheet
OEWD Form 109A ITA Master Agreement CBO-Vendor
OEWD Form 110A Job Search History
OEWD Form 111A Training Provider and Labor Market Research
OEWD Form 113A OJT Contract Agreement
OEWD Form 114A WIA Program Follow Up Contact Information
OEWD Form 117 Written Employment and Education Verification Form
Grievance Form (English)
Grievance Form (Spanish)
Grievance Form (Chinese)
Applicant Statement

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Reference Forms

WIA Income Criteria 2014
Specified Vocational Preparation (SVP)
WIA Adult Common Measures Chart

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OJT Forms

OEWD Form 122-OJT Training Proposal 
OEWD Form 123-Proposed OJT Training Outline
OEWD From 124-OJT Agreement
OEWD Form 125-OJT Worksheet
OEWD Form 126-Mid-OJT Monitoring Guide
OJT Approval Packet Coversheet
OJT Contract Invoice and Trainee Timesheet
Employment Verification and Survey

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 Youth Procedures & Forms

 

Standard Youth Procedures

101-Y Youth Program Eligibility
102-Y Youth Enrollment
103-Y Youth Assessment
104-Y Referral and Co-Enrollment
105-Y Youth Supportive Services
106-Y Employment & Education Verification
107-Y Youth Data and Reporting
108-Y Retention Services
112-Y Program Monitoring
113-Y Invoicing
114-Y Youth Participant File Format
115-Y Transferring Files
116Y Monthly Reports
117-Y Youth Experience and Wages

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General Fund Youth Procedures

GF101Y Youth Eligibility
GF102Y Youth Enrollment
GF103Y Youth Assessment
GF105Y Supportive Services
GF113Y Invoicing
GF114Y Participant File Format

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 Standard Youth Forms (both WIA Youth & General Fund)
Universal Application (Word)
Grievance Form (English)
Grievance Form (Spanish)
Grievance Form (Chinese)
Individual Service Strategy
Supportive Services Payment Determination
Employment, Education and Attainment Verification Form (Word)

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WIA Youth Forms

 
Title I Eligibility Verification Form  
Child Care Eligibility and Authorization Record  
WIA Application (entered Workforce Central)  
WIA Enrollment (entered Workforce Central)  
WIA Test Score Form (entered Workforce Central)  
WIA Exit (entered in Workforce Central)  
WIA Follow Up (entered Workforce Central)  
WIA Transmittal Coversheet (Word)  

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General Fund Forms

Enrollment/Completion Form (entered in Workforce Central)
Exit Form (entered in Workforce Central)
Follow Up Form (entered in Workforce Central)
OEWD Transmittal Sheet (Word)

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Reference Documents

WIA Client Forms Handbook
WIA Technical Assistance Guide
WIA Technical Employment Guide Letter (TEGL)
San Francisco Housing Authority Sites
Targeted Employment Area (TEA) Addresses
Occupational Employment Statistics (OES) Codes
Case Notes Template (Word)
WIA Youth Participant File Checklist
GF Youth Participant File Checklist
Youth Common Measures Guide
WIA Income Criteria 2013
Follow Up Chart
Reasonable Accommodation Policy & Procedure Guide

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Draft Procedures for Comment

 

Adult Draft Procedures

There are no open adult draft procedures at this time

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Youth Draft Procedures

There are no open youth draft procedures at this time

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Drafts will be open for comment for 30 days.  If you would like to submit a comment on any of these directives, please email This e-mail address is being protected from spambots. You need JavaScript enabled to view it with "Comment on Policy & Procedure [insert policy & procedure number]" in the subject line.