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Workforce Innovation and Opportunity Act
Important Information - Incumbent Worker Assessment Survey Instructions

Last Updated: June 25, 2018

The following are some general guidelines for the Incumbent Worker Assessment Survey forms. 

New survey forms have been designed.  You will use Form #52375 for the Employers and Form #37018 for Participants.  No other survey forms will be accepted.  Please dispose of any other survey forms you may have. 

The survey forms are available on the WIOA Website for your convenience to download and reproduce. When duplicating, please make sure that the copier glass is clean and free of dust or debris and is aligned properly on the copier so that we get the best and most accurate results. Please do not fax any surveys.  When faxed, lines and other anomalies distort and compromise the survey responses. Please continue to email or call to request new Employer numbers so that the boxes requesting Employer Number on the survey forms are accurate. Make sure you fill in your WIB Number so that the results for your region will be calculated accurately.

Please note that due to loss of staff in the Performance and Accountability Unit, we do not have personnel to make corrections or redo forms with missing WIB or Employer Numbers. 

If you have any questions about the forms or Employer Number lists please feel free to call or email the Performance and Accountability Unit @ (860) 263-6740 or (860) 263-6744.

200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000

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