S-10000-00003770 Attachment C.pdf

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Attached to
Vocational Rehabilitation Job Placement Services
Solicitation number
S-10000-00003770
Issued by
Marion County, Oregon

About this file

This document is an Attachment C - Employee Roster required as part of the Request for Application (RFA) for the Vocational Rehabilitation Job Placement Services contract issued by the Oregon Department of Human Services (ODHS) Office of Vocational Rehabilitation (VR). The RFA is seeking applications from qualified providers to deliver employment support services to VR participants. Applicants are required to complete the Attachment C to provide information on their employees who will be working directly with VR participants under the contract.

The document outlines the need for the Applicant to submit the completed Attachment C as part of the application package. It requires the Applicant to provide the business name, the Applicant signee name, and the date of hire for all employees who will be working directly with VR participants under the contract. The RFA indicates that additional copies of the attachment may be used if needed to list all relevant employees.

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RFA – OregonBuys Bid S-10000-00003770 Attachment C

S-10000-00003770 Page 1 of 1

ATTACHMENT C – EMPLOYEE ROSTER

As a Contractor, under the Job Placement Services Contract, it is a requirement to keep Vocational Rehabilitation (VR) informed of what employees are working directly with VR Participants. In order to move forward with the process, VR requires Applicant to fill out and complete this Attachment C and submit with the Application Package.

Business Name: ________________________________________________________________________________

Applicant Signee Name: Date of Hire

Additional Employee(s) Names: Date of Hire

If additional copies are needed, please use this same page.

File details come from the government source that posted it. Updated .