CRS Services Report Forms (January 1, 2014 - December 31, 2018)
CRS 2.0 Service Report Forms (January 1, 2019 - December 31, 2023)
Entry Services
- Cover Sheet
Form: VR-118X - Orientation Provider Report
Form: VR-O - Orientation Attendance Sheet
Form: VR-OA - ACCES-VR Orientation (Consumer Survey)
Form: VR-OS - Application Information Sheet
Form: VR-AIS
Job Placement Services
- Coaching Supports for Employment
Coaching Supports for Employment – Deaf Services
Work-based Coaching Supports for Employment - Students
Form: VR-959X, VR-563X and VR-964X - Direct Placement Intake – Tier 1
Form: VR-921X - Job Seeking and Job Development – Tier 2
Job Seeking and Job Development – Tier 2 – Deaf Services
Form: VR-929X and VR-935X - Job Placement – Tier 3
Job Placement – Tier 3 – Deaf Services
Form: VR-931X and VR-936X - Job Retention Services – Tier 4
Job Retention Services – Tier 4 – Deaf Services
Form: VR-932X and VR937X - Job Placement Monthly Placement Activity Report
Form: VR-MPAR
Supported Employment Services
- Referral to ACCES-VR for Supported Employment
Form: VR-415 - Intake
Form: VR-571X - Pre-Employment Assessment/Job Development Service (VR-Intensive Service Plan)
Form: VR-572X - Job Placement Report – Day 5
Form: VR-573X - Job Placement Report – Day 45
Form: VR-574X - Job Retention Services Report and Extended Services Job Retention and Career Development Plan
Form: VR-575X - Hours Per Week Quality Bonus Payment
Form: VR-576X - Hourly Wage Quality Bonus Report
Form: VR-577X - Monthly Progress Report for Supported Employment – Formerly VR-417
Form: VR-MPSE - Extended Services - Monthly Report of Services Provided
Form: Extended Support Services (Fill in)
Adjunct Services
Benefits Advisement
- Benefits Advisement Checklist
Form: VR-175X
Mobility Services
- Travel Competency Form – Mobility Training (VR-MS)
Time Sheet for Mobility Training (VR-MST)
Form: VR-MS and VR-MST
Coaching Supports
(For Postsecondary Education, Internship, or Other Activities In Pursuit of Employment Goals)
- Coaching Supports (VR-790X)
Coaching Supports – Deaf Services (VR-791X)
Form: VR-790X and VR-791X
NYS Claim for Payment Instructions:
- Do not bill for Entry Service to Groups and Supported Employment Extended Services on the same Claim for Payment form; they must be billed separately;
- Do not include ACCES-VR participant information on the Claim to Payment form;
- Send Claim for Payment for Group Orientation Sessions to the ACCES-VR District Office who made the request;
- Send Claim for Payment for Supported Employment Extended Services to ACCES-VR Central Office, with a copy of the roster to the ACCES-VR District Office(s).
CRS Performance Review (For ACCES-VR Staff Only)
- CRS Performance Review
Form: VR-REV - Performance Review Protocols (to be posted at a later date)
Document: Performance Review Protocols - Supported Employment Corrective Action Plan (to be posted at a later date)
Form: Supported Employment Corrective Action Plan