Unified Contract "Fasttrack" Providers Page

Graphic of the New York State Education Department
Vocational and Educational Services for Individuals with Disabilities (VESID)
Special Education and Vocational Rehabilitation Services
Graphic of a Horizonal Line


"Fasttrack" Forms:

Fasttrack Cover Sheet

Fasttrack Provider Information for Consumers

VES-O4, Application Form for VESID Services

Applicant Information - Informed Choice

Orientation Script

VES-21, General Release Form

VES-22, Specific Release Form

VES-415, for Supported Employment referrals only

VES-540, No Redisclosure Form - Alcohol and Substance Abuse Information

VES-26, Confidential Health Assessment Form

Job Readiness Survey

Functional Limitation Checklist

Background Information Case Note

Standard Voucher Form

Link to VESID Central Office "Due Process" Information


Workers Compensation Forms:

Physician Cover Letter with Release to Work

Estimated Physical Capacities Form

Workers Compensation Authorization to Disclose (OC-110A)


Medical Report Forms:

Medical Form - General

Medical Form - Alcohol / Substance Abuse Disabilities

Medical Form - Othopedic and Miscellaneous Disabilities

Medical Form - Psychiatric Disabilities


Top of Page

Back to Homepage