Criscuololaw.com/WorkSearch : Vocational, Training, and Schooling Report
Dear Clients of Vincent Criscuolo and Associates. You can use this form to report each of your job retraining activities to prove to the workers' compensation board that you are actively retraining for work within your restrictions. Please complete the form and use the NOTES section to report any and all important details about your retraining progress.
Email address
Your First Name
Your answer
Your Last Name
Your answer
What is Your WCB#?
Your answer
Which vocational program did you connect with? (Select only one. If your program isn't listed, please select "Other" and enter the program name.)
On what date did you do this vocational activity?
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What did you do with the vocational resource? (Select only one. If your activity isn't listed, select "Other" and enter the activity.)
Who did you meet or consult with, if applicable? (Enter name and contact information including phone number, address, and email address if available)
Your answer
If you are enrolled in a course program, when do you expect to finish or graduate?
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DD
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YYYY
Notes: please explain why you are engaging with this program, your progress, and any other important details.
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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