Initial Support Services - Systematic Instruction Plan Report This form is to be completed by DVR Se 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Report Month' and 'Report Year' in the designated fields. Ensure accuracy as this information is crucial for record-keeping.
3. Fill in the 'Consumer IRIS Number' and 'Service Provider Name'. Use the 10-character abbreviation for the service provider to maintain consistency.
4. Input the 'Consumer Name' as listed on the purchase order, followed by the 'Service Authorization Date' and 'Report Date'.
5. Complete sections for 'Invoice Amount', 'Employer Name and Address', and contact details for both Counselor/DVR Staff and Supervisor.
6. Detail job duties/tasks, baseline timing, quality metrics, and dates of job analysis. Include training specifics such as type, hours, and dates.
7. Address any other resources needed or workplace issues. Provide a description of natural supports and employer feedback.
8. Finally, specify the method for exchanging reports and ongoing information for future transitions to long-term support.

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