Current Employment Networks (EN) and State Vocational Rehabilitation (VR) agencies must submit various forms to the Social Security Administration and the Ticket Program Manager. For questions about a specific form, use the contact information located on the form.
- Form 1374: EN Change Form (PDF)
- Form 222: Security Awareness - Contractor Personnel Security Certification (PDF)
- EN Change Form (Section Three) (DOC) (PDF)
- EN Termination Form (PDF) (DOC)
- e-QIP Paperwork Coversheet (DOC) Updated!
- e-QIP Applicant Listing (DOC)
- Standard Form 85 (PDF)
- Fair Credit Authorization Form (PDF) Updated!
- Declaration for Federal Employment (PDF)
- Form 1370: Individual Work Plan (PDF)
- Ticket Assignment Request (PDF)
- Form 1373: EN Supplemental Earnings Statement (PDF)
- Form 1391: EN Payment Request Form (PDF)
- Form 1401: EN Split Payment Request Form (PDF)
- Employer-Prepared Earnings Statement (PDF)