Delta Workforce Development Area
Basic & Individualized Career Services Only
Participant Folder Content Checklist
(Revised 09/25/2015)
X = In Scan
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BASIC & Individualized Career Services Participant
WIOA Signature Page & Self-Attestation
Complaint & Grievance Procedure for Disc/Non-Discrimination Form - Signed
Release of Information - Signed
Access – Claim Summary (Adult or Dislocated Worker)
Attestation of Income and/or Resources (if applicable)
Proof of Income (Adult only) – Must meet 70% Poverty Level Guideline
(if applicable)
Proof of TANF and/or SNAP – JT10 (if applicable)
Proof of Free Lunch or Reduced Lunch (if applicable)
SSI Documentation (if applicable)
Dislocated Worker Certificate (if applicable)
SS Card
Proof of Age (Government issued photo ID or Birth Certificate)
Selective Service Registration (if applicable)
Proof of Veteran Status- DD214 or “Veteran” status on D.L. (if applicable)
Proof of Eligible Spouse of Veteran (if applicable)
Basic Skills Deficient (if applicable)
Credential – 3 CRC Scores – scan if Credential (if applicable)
Individual Employment Plan
WIOA Enrollment Notes
Priority of Service (required)
Documentation of Request for Supportive Services Form S.S.1, S.S.2, or
S.S.3 and required proof (if applicable)
Participant Folders must be scanned in the above order.
Information keyed into OESS (such as the Participant Profile, IEP, WIOA Enrollment Services,
Training Enrollments, and Case Notes) are not required to be printed, scanned and imaged.