Common use of Employment Verification and Reports Clause in Contracts

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION CHIMES INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • contain the following information to DORS: · Job Title • · Employer name, address, and phone number • · Address of actual worksite if different from employer address • · Integration of worksite • · Start date of employment • · Work hours per week • · Rate of pay • · Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION XXXXXXX XXXXXXX EDUCATION AND COMMUNITY SERVICES, INC. Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION ASSOCIATION, INC. Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION ITINERIS INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION COMPANIONS, INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION BAYSIDE Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION XXXXXXX CENTER, INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION EMERGE, INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION COMMUNITY OPTIONS INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION CRP Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION SPECTRUM SUPPORT INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION FRIENDS AWARE, INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION ALLIANCE INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION COMPASS INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION ALLIANCE, INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION HEALTHY LIVES, LLC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION CREATIVE OPTIONS, INC. Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION Chesapeake Center, Inc. Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION TRANSCEN INC Employment Verification & Placement Incentive Request.

Employment Verification and Reports. When the DORS consumer has been placed in competitive integrated employment by • Job Title • Employer name, address, and phone number • Address of actual worksite if different from employer address • Integration of worksite • Start date of employment • Work hours per week • Rate of pay • Benefits received or available through employer. When no placement incentives apply, authorization may be requested to verify employment stability at 90 days through use of the KARINA ASSOCIATION SHURA, INC Employment Verification & Placement Incentive Request.