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1-800-535-6575
IBI Works: Ticket-to-Work
Please answer the following questions. Our office will contact you if you are found to be a good candidate to return to work.
First name
Last name
Email
Phone
Birthday
Address
What is your highest level of education?
*
Required
Less than Highschool
Highschool Diploma or GED
Vocational or Technical Training
Some College
Bachelor's Degree
Graduate Degree
What type of vocational degree or technical training did you receive?
Have you ever used the SSA's Ticket-to-Work Program?
*
Required
Yes with:
No
I'm not sure
When and with what Employment Network?
What transportation would you use to get to work?
*
Required
I have my own, reliable vehicle
I use public transportation
I have a friend or family member that can reliably take me
I do not have transportation. I will need to work from home.
Are you currently receiving Long Term Disability benefits?
Yes
No
Do you have a smart phone or tablet?
*
Required
Yes
No
Submit
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