This page provides sample documents produced by state child support agencies as examples to help your agency implement a noncustodial parent employment program.
Disclaimer:
OCSS did not produce these publications. We received permission to share them from the state agencies that developed the documents.
Scope of Work
Sample Statement of Work from an existing Memorandum of Understanding (MOU) between a child support agency and a work force agency | Sample (PDF) (PDF)
Release of Information Forms
Examples of Release of Information forms:
- Authorization to allow a child support agency to disclose information with a workforce agency | Sample (PDF) (PDF)
- Authorization to allow an agency within the Health and Human Services Department to disclose information | Sample (PDF) (PDF)
- Authorization to allow a workforce agency to disclose information to an employer or with other agencies | Sample (PDF) (PDF)
Parent Employment Assessment
Employment assessment for workforce agencies to use to identify and prepare an employment plan for a noncustodial parent | Sample (PDF) (PDF)
Recruitment and Outreach Forms
Recruitment and outreach documents:
- Script for contacting noncustodial parents by phone (PDF)
- Outreach flyer | Sample 1 (Washington) (PDF)
- Outreach flyer | Sample 2 (North Dakota) (PDF)
Supportive Services Descriptions
One page chart detailing supportive services for an employment program | Sample (PDF) (PDF)
Program Standards and Policies
Guides that explain program standards for consistency, set basic principles and policies, and provide procedural guidance.
- Customer Service Guide (PDF) | Provides policies and procedures for workforce agency representatives serving noncustodial parents.
- Employment Program Guide (PDF) | Details policies for eligibility, referral processes, services, and program compliance.
Program Funding and Implementation Proposals
Examples of successful proposals.
- Section 1115 Waiver Applications | Application examples for employment projects
- State Incentive Reinvestment Exemption Request (PDF) | Cover letter requesting approval to use incentive payments for employment services.
- Employment Services Framework Proposal (PDF) | Proposal document for developing and implementing a comprehensive noncustodial parent employment program.