USOR-84 (Rev. 1091) UTAH STATE OFFICE OF REHABILITATIO

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USOR-84 (Rev. 1091) UTAH STATE OFFICE OF REHABILITATIO Powered By Docstoc
					USOR-84
(Rev. 10/91)
                   UTAH STATE OFFICE OF REHABILITATION

                                 *OJT AGREEMENT

1.     This OJT agreement specifies the services to be provided by the Employer and the
       Utah State Office of Rehabilitation (USOR) in establishing an on-the-job training
       program for:
                      _______________________________________
                                  (Rehabilitation Client)
2.     A.     Employer’s name:_____________________________________________
       B.     Address: ________________________________________Phone_______
       C.     OJT Supervisor/trainer:_________________________________________
       D.     DOT occupational code number (first 6 digits):______________________
       E.     Training dates: Beginning _______________ Completion ____________
       F.     No. of hours per week: __________ No. of weeks/months:_____________
       G.     Training schedule (please list dates, times and tasks):


       Date/Time                          Skills/Tasks to be taught




3.     The employer will:

       A.      Provide training for the client as outlined in number 2, above.
       B.      Pay trainee’s wages as follows:*



            (*Note: The payment amount and schedule is established jointly by the
            counselor and employer/trainer.)

       C.      Provide for Worker’s Compensation or other insurance coverage.
       D.      Submit monthly written training progress reports (Form USOR-72) to
                                                      , Rehabilitation Counselor.
       E.      Submit billing to the counselor at the end of each month for
               reimbursement for training costs (for example, 100 hours OJT @$5.00
               per hour = $500).
*Refer also to CSM 13.8 (B) (5) for an explanation of agency OJT policy and forms.
                                       (Continued)
4.     The Utah State Office of Rehabilitation will:

       A.      Pay the employer a training fee as follows:




            (Note: The training fee amount and schedule is established jointly by the
            counselor and the employer/trainer.)

       B.      When appropriate, furnish equipment and supplies that are required by the
               client/trainee for training and/or employment.

       C.      Provide technical assistance, counseling, and/or follow-up services to the
               employer and/or trainee and assist in solving problem(s) that may arise
               during the training program.

5.     The employer agrees to hire the trainee upon completion of the training program
       if a position is available.

6.     The client/trainee is responsible for contacting the counselor monthly, or more
       often as necessary, while in the OJT program. Circumstances that occur that may
       affect the client/trainee’s continued eligibility to participate in an OJT must be
       reported to the counselor immediately (such as illness, moving to another area,
       obtaining employment, etc.).

7.     This letter of understanding may be discontinued at any time by the
       employer/trainer or counselor. Effort should be made by all parties to
       communicate openly and frequently with each other during the training period.



Employer’s Signature                                   Date


Client/Trainee’s Signature                             Date


Counselor’s Signature                                  Date

Address

Phone Number

				
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