Wisconsin Works Participation Agreement
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes].
I understand and agree that I am responsible for the well-being of me and my family. Wisconsin Works (W-2) may help me find and keep a job to meet my responsibilities. If I am eligible for W-2, I agree to the following:
Disability Assistance Available
I understand that if I have a disability, I may be eligible to receive assistance otherwise known as reasonable accommodations from the W-2 agency to help me participate in assigned work and training activities.
What is a disability? The definition of disability under the Americans with Disabilities Act (ADA) is very specific and may not be the same as the definition used by other programs and services. Under the ADA, a person is protected against discrimination based on their disability if they have a condition that affects their ability to do physical activities (examples: walking, seeing, breathing, hearing, etc.) or have a mental condition (examples: learning disability, depression, history of addiction, anxiety, phobia, etc.) Not all limitations are considered a disability under the ADA. Individuals may be required to provide documentation or proof from a medical professional regarding the presence and severity of the disability.
What assistance is available? Accommodations may be available to allow an individual with a disability to participate in work or training activities. Each person may need a different type of assistance depending on his/her disability. A request for assistance will be reviewed on a case by case basis to determine if a disability exists that makes it difficult for an individual to participate in training and work activities and if so, what type of assistance s/he may need.
Examples of the type of assistance that may be available include:
If I feel that I am a person with a disability and will need assistance due to my disability while participating in the W-2 program, I will talk to my FEP about it.
W-2 Time Limit
I UNDERSTAND AND AGREE:
DCF-F-DWSP10755 (R. 01/2019)
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Document Name: Wisconsin Works Participation Agreement
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