Fillable Finding an EN and Assigning Your Ticket Worksheet (U.S. Social Security Administration)

Fill Online, Printable, Fillable, Blank Finding an EN and Assigning Your Ticket Worksheet (U.S. Social Security Administration) Form

Use Fill to complete blank online U.S. SOCIAL SECURITY ADMINISTRATION pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Finding an EN and Assigning Your Ticket Worksheet (U.S. Social Security Administration)

On average this form takes 6 minutes to complete

The Finding an EN and Assigning Your Ticket Worksheet (U.S. Social Security Administration) form is 3 pages long and contains:

  • 0 signatures
  • 14 check-boxes
  • 16 other fields

Country of origin: US
File type: PDF

BROWSE U.S. SOCIAL SECURITY ADMINISTRATION FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
Finding an EN and Assigning Your Ticket Worksheet
Did you receive a list of service providers from the Ticket to Work Help Line or the Choose
Work website’s Find Help tool? If so, this worksheet may help you call, email, or visit
Employment Networks (EN) to find one that is right for you. This worksheet gives you
a list of questions to ask and space to write your answers, which may help you with your
decision to assign your Ticket.
The list of service providers that you received may also list your local Vocational
Rehabilitation (VR) Agency and Protection and Advocacy for Beneficiaries of Social
Security (PABSS). A Work Incentive Planning and Assistance (WIPA) project may also be
listed, along with Employment Networks (ENs) that serve your area. See the glossary on the
back of this sheet to learn more about these providers, also known as your employment team.
Take the time you need to feel confident about the choice you are
making. Before you assign your Ticket, make sure you understand the
changes that working will have on your benefits. To learn how work
can affect your Social Security disability benefits, housing assistance
and Medicare or Medicaid, talk to an EN that offers benefits counseling
services or contact a WIPA project. Benefits counseling can help you
understand the rewards and risks that go with employment.
It may be helpful to talk to several prospective ENs about your employment
goals, work history and other needs before you assign your Ticket.
It’s time to get started. Keep this worksheet handy to help you
remember the details of your conversations as you make your decision.
Ticket to Work is a free
and voluntary program for
people age 18 through
64 who receive disability
benefits from Social Security.
The program offers
free employment
support services to help
beneficiaries achieve
financial independence.
Thousands of people have
used Ticket to Work and
Work Incentives to find
jobs, build careers, and
leave benefits behind.
Name of Employment Network:
Phone Number: Website:
Email:
Hours of
Operation:
How did you
contact the EN?
(Select Option): Email In Person Phone
Name of
Person Who
Assisted You:
Does the EN offer guidance on participating in the Ticket program? (Ask the EN which services they offer and
check all that apply.) A glossary of these terms is included on the back of this sheet:
Career Planning Job Leads Job Placement
Benefits Counseling Job Training Post-Employment Support
Career Counseling Employment Support Job Accommodations
2
What are you looking for help with ? (Consider asking about services the EN may offer like résumé
writing, interview skill development, benefits counseling or other services you would like to receive.)
Why are you looking for help with these services ? (Explain what you want to learn from this
conversation and the kind of help you want to receive as you prepare to assign your ticket.) Can this EN
help you achieve your goals?
If you assign your Ticket to this EN, what kind of help can you expect to receive? Will the EN and you
work together in-person or virtually?
Does the EN
serve beneficiaries who also have your disability? Choose the correct option
Yes
or
No
What types of jobs has the EN found for other people with experiences/skill sets similar to yours?
Who will work with you? Will it be the person you are speaking with or someone else within the EN?
Is the person you are speaking with a vocational counselor? What are their certifications? Have they
worked with other people who have employment needs like yours?
Will you get help from the same person or will different people help you whenever you need
assistance? Depending on your needs, will the person who helps you seek support outside their
organization? If so, where are they getting this help and what are their qualifications?
If you decide to assign your Ticket to this EN, what happens next? What is a typical timeline for
someone like you to get a job?
3
Next Steps: Use this space to write down any additional questions you would like to ask and what your
next steps should be after this conversation. Write down how you felt after you met with the EN and if
you think they are right for you.
Keep these questions in mind as you search for the EN that is right for you:
• Do you want to assign your Ticket to this EN?
• Did the staff seem friendly and willing to work with you?
• Does this EN provide all of the services you need?
• How does this EN compare to other Employment Networks that you are considering?
• Do you know anyone who has used this EN?
• What did they think?
For additional support, contact the Ticket to Work Help Line at 1-866-968-7842 (V) or 1-866-833-2967
(TTY) or by email at support@choosework.net.
4
Glossary of Terms:
Benefits Counseling – a free service offered to job seekers to know how working will affect their benefits,
including Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI), housing
assistance, SNAP/food stamps, etc.
Career Planning – review of skills and interests to develop a plan on work options available to you.
Career Counseling – a service to help you know your job options to make choices about education, life
and employment.
Employment Support – helps you enter, return, or remain on the job by protecting your benefits until you
reach your goal.
Job Accommodations – changes to a work setting that allow you to perform your job tasks.
Job Leads – information about job openings from the employer on the positions they are trying to fill and
the skills needed for the job.
Job Placement –a combination of support such as counseling and skill assessment used to find and
secure a job.
Job Training – support to help you get ready for a job by giving you information about the position and
allowing you to perform some activities that you will do on a daily basis as part of the job.
Post-Employment Support – support services and continued access to resources such as job training and
counseling after you are working.
Meet Your Employment Team
Employment
Networks
(EN)
• Career
Planning
• Job Leads and
Job Placement
• Ongoing
Employment
Support
Workforce
Employment
Networks
(WF)
• Career
Planning
• Job Leads and
Job Placement
• Ongoing
Employment
Support
• Benets Counseling
• Training Programs
• Special Programs
for Veterans and
Youth-In-Transition
State
Vocational
Rehabilitation
(VR) Agencies
• Intensive
Training
• Education
• Rehabilitation
• Career
Counseling
• Job Placement
Assistance
• Benets
Counseling
Work
Incentives
Planning &
Assistance
(WIPA)
• Benets
Counseling
• Other Federal
and State
programs
Protection
and
Advocacy for
Beneciaries
of Social
Security
(PABSS)
• Individual
Advocacy/
Conict
Resolution
• Legal
Advocacy
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Finding an EN and Assigning Your Ticket Worksheet (U.S. Social Security Administration)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document