ESS-C-181 — Termination & Re-Placement Report (Rev. 2021-07-12)

Form Number: 

ESS-C-181

the EC will complete the form when informed of job termination and again on or before the start date when the individual is re-placed on a new job.

ESS-C-181 when used must be submitted by email to the counselor with milestone documentation required for payment, Cc'd to the ESS TA and a copy retained in the individual’s Case Documentation file.

Document: 

File Origination or Revision Date: 

Rev. 2021-07-12