Common use of Employment Flag Disclosure Clause in Contracts

Employment Flag Disclosure. Amendment 5. Effectiveness of the Amendments By: Date: Name (Printed): Title: Phone: Email: Agency: Agency reporting on behalf of WIOA: Performance Accountability and Customer Information Agency Yes No (Check Yes or No for each – do not leave blank)

Employment Flag Disclosure. Amendment 5. Effectiveness of the Amendments By: Date: Name (Printed): Title: Phone: Email: Agency: Agency reporting on behalf of WIOA: Title I Title II Title III Title IV Performance Accountability and Customer Information Agency Yes No (Check Yes or No for each – do not leave blank)

Employment Flag Disclosure. Amendment 5. Effectiveness of the Amendments By: Date: Name (Printed): Title: Phone: Email: Agency: Agency reporting on behalf of WIOA: Performance Accountability and Customer Information State Unemployment Insurance Agency Yes No (Check Yes or No for each – do not leave blank)

Employment Flag Disclosure. Amendment 5. Effectiveness of the Amendments By: Date: Name (Printed): Title: Phone: Email: Agency: Agency reporting on behalf of WIOA: Performance Accountability and Customer Information Agency Yes No (Check Yes or No for each – do not leave blank):