More Information
In designing and implementing the SSDI ‘1 for 2’ project, a number of reports, forms, and presentations have been developed. The following is a list of products and a brief description of each. Since forms are sometimes updated, if you want to use one of the forms please contact Cathy Chambless at 801-231-1997 or by email cchambless@utah.gov.
Reports
- Final Report - Project Specifications and Design of Treatments, Task 2, June 8, 2005 1f2-FinalOutcomeSpecs6-8-05.pdf
- Measurement of Outcomes, Task 3, June 8, 2005 1f2-FinalOutcomeSpecs6-8-05.pdf
- Evaluation Plan, Task 4, July 8, 2005 1f2-evaluation-7-8Final.pdf
- Data Collection and Management Plan, Task 5, August 26, 2005 1f2-data managment plan-8-26Final.pdf
- Data Dictionary, Task 6, Revised December 6, 2005 1f2-data dict-12-6update.pdf, 1f2-data dict-12-6update.doc
- Copy of the Federal Register notice announcing the Pilot Projects. Fed reg notice SSA benefit offset waiver 4.14.05.pdf
Enrollment Materials
- Informed Consent – this form is completed at intake. It
provides the enrollee a detailed over of the project. By signing it they indicate
that they understand the project and are voluntarily enrolling. Utah_informed_consent_5-4-2006_final.pdf
Utah_informed_consent_12-29-2005_final.pdf (Spanish Version)
Audio file version: http://www.cppa.utah.edu/temp/SSDI_informed_consent-11-15.mp3 - Authorization to disclose – this form is also completed at intake.
By signing the form, the enrollee is providing agencies permission to release information
about themselves to the SSDI ‘1 for 2’ Project team. UTAH_Auth_to_Disclose_final_1-06.pdf
UTAH_Auth_to_Disclose_final_1-06.pdf (Spanish Version)
Audio file version: http://www.cppa.utah.edu/temp/SSDI_authorization_disclose_11_15.mp3 - Withdrawal form – If a project participant wants to voluntarily withdraw from the project, they must complete this form and submit it to the project team. withdrawal form-11-10.pdf
- IRS Release
SSA IRS Release-3288
Benefit information
A subsidy is the value of the support an individual receives at work. If a subsidy is accepted by Social Security, the individual may be able to deduct an amount of money or a percentage of income to lower your countable gross income (or wages). This lower amount is used by Social Security to determine if the individual has earned Substantial Gainful Activity. subsidy_12-05.pdf
The following are links to diagrams summarizing the rules governing work for SSDI recipients. The first diagram outlines the current rules. The second diagram outlines the rules for individuals enrolled in the Pilot Rules group of the SSDI '1 for 2' Project.
Overview of SSDI–Pilot Rules-Graph and Text
Overview of SSDI–Current Rules-Graph and Text