Washington State Department of Social and Health Services Home page

RFQ1236-429 DDDS One-Day Vocational Workshop Evaluation

Notice

Purpose
The Department of Social and Health Services (DSHS), Division of Disability Determination Services (DDDS), administers the Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and DSHS Non-Grant Medical Assistance programs. The purpose of this Request for Qualifications (RFQ) is to expand the list of qualified, contracted vocational evaluators to perform one-day vocational workshop evaluations for clients who apply for these benefits.
Contact Name
Uyen Kashani, Professional Relations Specialist
Contact Email and Address
Uyen.Kashani@ssa.gov
Department of Social and Health Services
Division of Disability Determination Services
P.O. Box 9303
Olympia, WA 98507-9303
Contact Phone
1-800-562-6074, Ext. 47437
Contact Fax
(360) 664-7359
Submissions
If you are interested in becoming a Consultative Examiner, please submit your application packet to the above address or fax number.
Issue Date
February 7, 2014

Documents

RFQ 1236-429 - Request for Qualification - DDDS One-Day Vocational Workshop Evaluation

  • Exhibit A - Application Checklist
  • Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality
  • Exhibit C - Statement of Agreement for Vocational Evaluators - Updated July 11, 2014
  • Exhibit D - Contractor Intake Form
  • Exhibit E - Sample Contract – One-Day Vocational Workshop Evaluation
  • Exhibit F - DSHS Background Authorization Form
  • Exhibit G - Character, Competence, and Suitability Assessment Form

Adobe Acrobat Reader is required to view PDF files. You can download it for free.