Welcome to the Employment Development Department

Miscellaneous Forms

This is a collection of miscellaneous forms issued under directives and information bulletins/notices. Each item consists of the originating documents and attachments including complete instructions and forms, and individual forms.

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  • WSD08-7 – LWIB Recertification and Decertification
  • WSD08-2 - Transfer of Funds for Adult and Dislocated Worker Programs
  • WSD07-3 - Dislocated Worker Additional Assistance Projects
  • WIAD06-15 - Eligible Training Provider List
  • WIAD06-10 - LWIA Nonperformance Policy
  • WIAD06-3 - WIA Closeout Handbook
  • WIAD04-14 - Cash Request Handbook
  • WIAD03-9 - Property– Prior Approval, Purchasing, Inventory and Disposal
  • WIAD01-15 - Youth Service Eligible Provider List

LWIB Recertification and Decertification
WSD08-7 – LWIB Recertification and Decertification

Attachments
FWSD08-7A – LWIB Recertification Request (DOC) (249k)
FWSD08-7B – LWIB Mandated Functions and Duties Self-Certification (DOC)

Transfer of Funds for Adult and Dislocated Worker Programs
WSD08-2 - Transfer of Funds for Adult and Dislocated Worker Programs

Attachments
FWSD08-2A - Transfer Request (DOC)
FWSD08-2B - Transfer Request Participant Plan (XLS)
FWSD08-2C - Transfer Request Budget Plan (XLS)

Dislocated Worker Additional Assistance Projects
WSD07-3 - Dislocated Worker Additional Assistance Projects

Attachments
RWSD07-3A - WIA Dislocated Worker Additional Assistance Project Application Guidelines (PDF)
RWSD07-3B - Summary of Comments and Resolutions of Comments Regarding Directive “Dislocated Worker Additional Assistance Projects” (PDF)
FWSD07-3 - WIA Dislocated Worker Additional Assistance Project Application (DOC) (401k)

Eligible Training Provider List
WIAD06-15 - Eligible Training Provider List

Attachments
FWIAD06-15A - WIA Training Provider Application (DOC)
FWIAD06-15B - WIA Training Program Application (DOC)
FWIAD06-15C - WIA Community College Provider Application (DOC)
FWIAD06-15D - WIA Community College Training Program Application (DOC)

LWIA Nonperformance Policy
WIAD06-10 - LWIA Nonperformance Policy

Attachments
FWIAD06-10 - LWIA Corrective Action and Technical Assistance Plan (DOC)

WIA Closeout Handbook
WIAD06-3 - WIA Closeout Handbook

Attachments
FWIAD06-3A - WIA Closeout Status of Cash Form (DOC)
FWIAD06-3B - EXPD Summary of WIA Expenditures Form (formula, 15%, 25%) (DOC)
FWIAD06-3C - WIA Summary of Expenditures Form (25% Rapid Response) (DOC)
FWIAD06-3D - WIA Summary of Expenditures Form (Youth) (DOC)
FWIAD06-3E - WIA Subrecipient Release Form (DOC)
FWIAD06-3F - WIA Subrecipient’s Assignment of Refunds, Rebates and Credits Form (DOC)
FWIAD06-3G - WIA Contract Closeout Tax Certification Form (DOC)
FWIAD06-3H - Property Closeout Inventory Certification Form (DOC)
FWIAD06-3I - WIA Closeout Inventory Form (DOC)
FWIAD06-3J - WIA Closeout End of Project Report Form (DOC)

Cash Request Handbook
WIAD04-14 - Cash Request Handbook

Attachments
RWIAD04-14 - WIA Job Training Automation System Cash Request Handbook (188k) (PDF)
FWIAD04-14A - JTA System Information Request Form (DOC)
FWIAD04-14B - JTA System Banking Institution Information Form (DOC)
FWIAD04-14C - Manual JTA Cash Request Form (DOC)

Property—Prior Approval, Purchasing, Inventory and Disposal
WIAD03-9 - Property—Prior Approval, Purchasing, Inventory and Disposal

Attachments
FWIAD03-9 - Request for Approval to Charge WIA Funds for the Cost of Property (DOC)

Youth Service Eligible Provider List
WIAD01-15 - Youth Service Eligible Provider List

Attachments
FWIAD01-15A - YSEPL Application Form (XLS)
FWIAD01-15B - YSEPL Application Line Item Instructions (PDF)

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