Disability

The following instructions apply to the Disability section of the Demographics Information. This page only appears to staff if "Individual with Disability" has been answered "Yes" on the Registration Information page.

1. Is the individual receiving services funded by a Local and/or State Agency? Check boxes; Check all that apply:
   • State Developmental Disabilities Agency (SSDA)
   • Local and State Mental Health Agency (LSMHA)
   • State Medicaid HCBS waiver
   • None
2. Is the individual participating in any of the following work settings? Drop-down; Select from the following options:
   • Competitive Integrated Employment
   • Individual Supported Employment
   • Group Supported Employment
   • Sheltered Workshop
   • Combination of two or more settings
   • Not Employed
3. Is the individual receiving any of the following Customized Employment Services?Drop-down; Select from the following options:
   • Discovery assessment services
   • Developed a customized employment search plan
   • Employer negotiation services
   • Secured employment as a result of receiving customized employment services and received extended support services
   • No CES services
4. Is the individual receiving any of the following Financial Services? Drop-down; Select from the following options:
   • Benefit planning services
   • Financial capability/asset development services
   • Benefit planning services and financial capability/asset development services
   • No
5. Is the individual an Individualized Education Program (IEP) participant? (Applies to in-school youth only) Drop-down; Select from the following options:
   • Current IEP
   • Previous IEP
   • Neither applies
6. Does the individual have a Section 504 plan? (Applies to in-school youth only) Drop-down; Select from the following options:
   • Yes, individual has a Section 504 Plan
   • No, individual does not have a Section 504 Plan