ESS-C-181 Termination & Re-Placement Report

Form Number: 

ESS-C-181

The EC will complete the Termination portion of the form and email it to the DRS Counselor and Cc ESS TA when the client is no longer employed or as soon as notified. When EC replaces the client in a new job, they will use the same form to complete the Re-placement section and email it to the DRS Counselor and Cc ESS TA before or on the day the job begins.

Document: 

File Origination or Revision Date: 

Rev 2023-11-27