Person Centered Employment Plan Form (Page 3 of 29) in pdf

Table of Contents

Frequently Asked Questions.................................................................................................... 4

Instructions: How to Complete this Packet .............................................................................. 5

Working with DVR Flow Chart ................................................................................................. 6

My Person-Centered Planning Tool ......................................................................................... 7

Section 1 - Evaluate: My Personal Profile ............................................................................... 8

Section 2 - Discovery: Resources .......................................................................................... 12

Potential Funding/Resources for Employment Services and Supports ........................................... 14

Section 3 - Developing a Plan of Action ................................................................................ 15

Section 4 - Employment Plan ................................................................................................ 18

Section 5 - Action Steps Completed ...................................................................................... 19

Section 6 - Action Plan Review.............................................................................................. 20

Section 7 - Sample Action Plans with Questions and Outcomes ........................................... 21

Section 8 - Social Security Work Incentives .......................................................................... 24

Work Incentives for SSDI Only: ...................................................................................... 24

Trial Work Period (TWP) ..................................................................................................... 24

Extended Period of Eligibility (EPE) ...................................................................................... 24

Subsidy or Special Conditions ............................................................................................. 24

Work Incentives for SSI Only: ......................................................................................... 25

Income Exclusion .............................................................................................................. 25

Federal 1619(b) ................................................................................................................ 25

Plan To Achieve Self Support (PASS) .................................................................................... 26

Property Essential to Self-Support (PESS) ............................................................................. 26

Employed Individuals with Disabilities Program (EID) ............................................................. 26

Work Incentives for SSDI and SSI: ................................................................................. 27

Impairment Related Work Expense (IRWE) ........................................................................... 27

Section 9 - SSDI Trial Work Period(TWP) Tracking Chart ..................................................... 28

Notes ..................................................................................................................................... 29

Person Centered Employment Plan

REV 6/2014

Person Centered Employment Plan Form Page 3