Job Seekers Specialized Support People with Disabilities Ticket to Work

Ticket to Work

Interest Form

If you’re interested in participating in the Ticket to Work program, our team can help you get started and determine if the program is a good fit. Simply complete and submit the form below for more information.

"*" indicates required fields

Name*
Are you between the ages of 18-64?*
Are you currently receiving SSI?*
Are you currently receiving SSDI?*
Are you a ticket holder?*
Are you interested in returning to work with the ultimate goal of getting off Social Security completely and becoming self-sufficient?*
Have you met with a Certified Work Incentives Coordinator (CWIC) to review how work will impact benefits?*
Have you met with any other EN or DOR?*
Consent
Not sure where to start?

Answer a few quick questions to get personalized guidance on your next step.

Take the Assessment