SR 97-33 Dated 09/97

STATE OF NEW HAMPSHIRE

INTER-DEPARTMENT COMMUNICATION

 

DATE:

August 27, 1997

FROM:

OFFICE OF THE ASSISTANT COMMISSIONER

AT (OFFICE):

Department of Health and Human Services

Office of Family Services

SUBJECT:

Implementation of Ordering, Printing and Distribution Procedures for All Forms Used Exclusively by New Hampshire Employment Program (NHEP) Teams; Release of Revised and Renumbered Forms NHEP31, Request to Adjust Transportation Payment Indicator; NHEP223, Employer Contacts; NHEP227, Employment Program Assessment Form; NHEP228, Employability Plan; NHEP228P, Employability Plan Preprint; NHEP229, Congratulatory Letter; NHEP229a and NHEP229b, Case Management Letters; NHEP230, Profiling Worksheet; NHEP231, NHEP General Agreement; NHEP232, AWEP Provider Agreement; NHEP233, AWEP Evaluation Report; NHEP234, AWEP Monthly Attendance Report; NHEP236, EPG Assignment Letter; and Their Instructions; Obsolescence of non-NHEP Versions of the Above Forms; Revised Form 222, Referral Letter, and its Instructions

TO:

ALL REGIONAL ADMINISTRATORS

 

ATTENTION:

OES Supervisors

Oversight Team

Profile Teams

NHEP Teams

Effective Date:

September 1, 1997

 

SUMMARY

 

The New Hampshire Employment Program (NHEP) provides employment and training services for financial assistance applicants and recipients through teams of Employment Support Counselors collocated at New Hampshire Employment Security (NHES) offices around the state. SR 97-9 fully implemented the NHEP, and released a series of new and revised forms designed to be used exclusively by these collocated teams. In order to maximize efficiency in ordering, printing, and distributing these forms for use by NHEP teams, NHES has agreed to introduce these forms into that agency’s internal printing, inventory, and distribution system. To do so requires the creation of a new form numbering system, in which the current DTA form number, such as "Form 228," is replaced by the designation "Form NHEP228." This SR formally obsoletes all of the forms used exclusively by NHEP teams and related instructions, and releases each with its new NHEP designation.

 

Forms Revisions

 

Form NHEP228P has been revised to remove the checkboxes labeled "EPG 1" and "EPG 2," used to indicate to which Employment Program Group the individual has been assigned. Since Form NHEP228P is used only with participants entering the 4 week Job Search Period, who have not yet been assigned to an EPG group, these boxes were judged to be superfluous.

 

The instructions for Forms NHEP228 and NHEP228P have been substantially rewritten to be more specific in terms of the exact steps used to complete the Forms.

 

In addition, Forms 222, Referral Letter, and 222i, Instructions, have been revised to match the formatting standardization applied to the NHEP forms released by this SR. Form 222 is used by DTA case technicians to refer individuals to NHEP teams for assessment and thus will continue to be printed and distributed by DHHS. It has not been given an NHEP designation.

 

Form NHEP229(a), Case Management Letter, has been reworded to substitute the sentence "You have been successful in your job" for "One month has passed since you began working." This change was done to focus the letter more on participant success than merely on the passage of time since employment was obtained.

 

In addition, the new NHEP forms and forms instructions have been revised to standardize headers and footers, and to correct typographical or terminology errors.

 

POLICY

 

No new program policy is released by this SR.

 

IMPLEMENTATION

 

NHEP teams have been instructed via memo on the new forms ordering procedures. A copy of this memo is attached. Current versions of these forms may be used until the supply has been exhausted. When current stocks have been depleted, NHEP teams may begin using the procedures detailed in the memo to order forms.

 

CLIENT NOTIFICATION

 

No client notification is necessary due to the procedural nature of this SR.

 

TRAINING

 

No training is planned. Questions may be directed to the Profile Team or the OES Policy Development Unit at State Office.

 

 

POSTING INSTRUCTIONS

 

Remove and Destroy  Insert

 

Forms Manual

 

Form 31, Form NHEP31,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 31(i), Form NHEP31(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 222, Form NHEP222,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 222(i), Form NHEP222(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 223, Form NHEP223,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 223(i), Form NHEP223(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 227, Form NHEP227,

SR 97-9/March 1997, SR 97-33/August 1997,

3 sheets 3 sheets

 

Form 227(i), Form NHEP227(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 228, Form NHEP228,

SR 97-9/March 1997, SR 97-33/August 1997,

2 sheets 2 sheets

 

Form 228(i), Form NHEP228(i),

SR 97-9/March 1997, SR 97-33/August 1997,

2 sheets 3 sheets

 

 

POSTING INSTRUCTIONS (cont.)

 

Form 228P, Form NHEP228P,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 228P(i), Form NHEP228P(i),

SR 97-9/March 1997, SR 97-33/August 1997,

3 sheets 3 sheets

 

Form 229, Form NHEP229,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 229(a), Form NHEP229(a),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheets 1 sheet

 

Form 229(b), Form NHEP229(b),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 229(i), Form NHEP229(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 230, Form NHEP230,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 230(i), Form NHEP230(i),

SR 97-9/March 1997, SR 97-33/August 1997,

2 sheets 2 sheets

 

Form 231, Form NHEP231,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 231(i), Form NHEP231(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 232, Form NHEP232,

SR 97-9/March 1997, SR 97-33/August 1997,

2 sheets 2 sheets

 

 

POSTING INSTRUCTIONS (cont.)

 

Form 232(i), Form NHEP232(i),

SR 97-9/March 1997, SR 97-33/August 1997,

2 sheets 2 sheets

 

Form 233, Form NHEP233,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 233(i), Form NHEP233(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 234, Form NHEP234,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet      1 sheet

 

Form 234(i), Form NHEP234(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet      1 sheet

 

Form 236, Form NHEP236,

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

Form 236(i), Form NHEP236(i),

SR 97-9/March 1997, SR 97-33/August 1997,

1 sheet 1 sheet

 

PEN AND INK CHANGE TO THE FAM

On the first page of Part 808, please write the following: "Per SR 97-33, Forms 31, 223, 227, 228, 228P, 229, 229(a), 229(b), 230, 231, 232, 233, 234, and 236 have been renumbered with the prefix NHEP preceding the number."

 

DISPOSITION

This SR may be destroyed after its contents have been noted and its posting instructions have been carried out.

/HThis SR only is being distributed according to the narrative SR distribution list for the Family Assistance Manual (FAM). The SR and attachments are being distributed to all holders of the FAM and Forms Manuals.

 

KW/DTA/RQY:s