The RO is always interested in work incentive efforts completed by the field; we periodically
report our efforts to CO. Please use the attached sheet to let the RO know, on a flow
basis, the nature of your activities in this endeavor. If you wish, you may submit
your Work Incentive Report(s) via CC:mail to ||NY ARC POS RSI/SSI Branch.
EX. 1 - Work Incentive Report
Field Office: ______________________________________
Office Contact: ____________________________________
Telephone # _______________________________________
Organization: ______________________________________
Address: __________________________________________
Date of Contact: ___________________________________
Type of Contact: ___________________________________
Description of Activity: