Get Ssa-1370

The SSA-1370 form, also known as the Ticket to Work Individual Work Plan, is essential for individuals participating in the Ticket to Work program. This guide provides clear, step-by-step instructions on how to fill out the SSA-1370 online, ensuring that users understand each section and can complete the form accurately.

Follow the steps to fill out your SSA-1370 online

1. Click ‘Get Form’ button to obtain the SSA-1370 and open it in your preferred online tool.
2. Begin by entering your personal information as a beneficiary. Fill in your full name, Social Security number, address, telephone number, and email in the corresponding fields.
3. Next, provide details regarding your employment. Enter the Employer Identification Number (EIN), network name, and contact information for your employment network.
4. Define your specific vocational goal and expected monthly earnings. Fill in the short-term goal for the next 3 to 12 months, followed by the expected earnings amount for that timeframe. Then detail your long-term career goal for the next 5 years and the expected earnings for that duration.
5. Outline the supports and services you need to achieve your short-term goal. Indicate what assistance you will require during the job search phase and the first nine months of employment. Also, describe any supports for job retention and career advancement beyond this period.
6. Provide your work history by checking all relevant statements regarding your earnings in the last 18 months. If applicable, fill out the chart with information about your past employers, including start and end dates, wage per hour, and hours worked per week.
7. Review the terms and conditions related to the provision of services. Ensure you understand your rights as a consumer and that you agree with the statements provided.
8. After verifying that all information is accurate, sign the form. Both the beneficiary and the Employment Network representative must provide their signatures and dates.
9. Finally, save your completed form. You can then choose to download, print, or share the SSA-1370 as needed.

Complete your SSA-1370 form online today to take the next step towards achieving your employment goals.