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West Virginia Income Maintenance Manual Chapter 18

West Virginia Income Maintenance Manual Page 184 Chapter 18 WV WORKS Activities/Requirements

APPENDIX D: INSTRUCTIONS FOR COMPLETING TRAINING AGREEMENT DFA-TA-34 An DFA-TA-34 must be completed for each individual placed into a jobs skills/vocational training activity. The agreement must be negotiated and signed by both parties prior to the enrollee/ participant training start date. Invoices for payment will be on the training facility’s regular invoice form or letterhead. Invoices should be submitted to correspond with Part V of the agreement payment schedule. Payments will be made via eligibility system supportive service to the provider for the cost of the course. Expenses incurred by a participant will be completed according to instructions in Chapter 24. An original and one copy of the DFA-TA-34 is to be completed. The original should be filed in the participant’s case record with the second copy being given to the contractor. If desired, the WV WORKS Supervisor may also keep a copy in an office file. D.1 INTRODUCTION • Contract Number- The contract or agreement number is entered here. Each WV WORKS Unit is responsible for maintaining a register of numbers to avoid duplication in the numbering system. The numbers will consist of four parts. The first part will be the letters ST which denote Skills Training. The second part will be the last two digits of the fiscal year. The third part will be the county number. The fourth part will be the number of the contract in sequence. Thus the sixth Skills Training agreement negotiated by Barbour County during fiscal year 2004 will be numbered ST-04-01-06. • Eligibility System Vendor Number- Enter the eligibility system Vendor number. The contract cannot be signed until this vendor number is recorded on the DFA-TA-34. • Subcontractor/Authorized Representative- Enter the name of the training facility and the name and address of the individual authorized to sign the agreement on its behalf. D.2 SECTION I • Enter the beginning and ending dates of the training program and the number of weeks this agreement will cover. • Registrant’s name, social security number and case number.