Supported Employment Program (SEP) Forms
The following forms are provided for use by DOR and service providers for Supported Employment (SE), Transitional Employment, and general (non-SE) job coaching.
SEP English forms are also available in alternative formats.
For PDF documents, please read our "About PDF" page for accessibility requirements.
The State of California accepts no responsibility for the content or accessibility of the external websites or external documents linked to on this website.
- DR381 Job Placement Parameters Sample Form in PDF
- DR382 Placement Services Progress Report in RTF
- DR383 Job Placement Information in RTF
- DR384 Monthly Job Coach Report in MS Excel
- DR384A Proposed Plan to Improve Performance in RTF
- DR385A Individual Invoice Summary (PDF)
- DR385B Individual Invoice Detail (Individual Placement) in RTF
- DR385AB Individual Invoice Summary and Detail in MS Excel
- DR385C Group Invoice Summary (PDF)
- DR385D Group Invoice Detail in RTF
- DR385E Group Job Coaching Invoice Detail in RTF
- DR385CDE Group Invoice Summary and Detail in MS Excel
- DR386 Invoice Discrepancy Notice Sample Form in PDF
- DR387 Notice of Transition to Extended Services Sample Form in PDF
of Developmental Services Habilitation SEP/WAP Work
Services Forms Page including:
- DS1964 - Supported Employment Group Billing and Attendance Form (Group Placement) completed by vendors.
- DS1968 - Vocational Rehabilitation Referral completed by regional centers.