New Jersey Administrative Code
Title 12 - LABOR AND WORKFORCE DEVELOPMENT
Chapter 45 - DIVISION OF VOCATIONAL REHABILITATION SERVICES
Subchapter 2 - TRANSPORTATION FOR EMPLOYEES CERTIFIED FOR EXTENDED EMPLOYMENT
Appendix A - TRANSPORTATION SURVEY
Current through Register Vol. 56, No. 18, September 16, 2024
Instructions for completion of client lists for transportation survey
The enclosed client list is that which we have for your facility at the present time. We may have overlooked some data that we received from you, so please check the list carefully. If any clients have been placed or dropped out and are not to receive a check, please draw a single line through the entry. Please do this lightly so that we can read the information sufficiently to remove it from our system.
The critical items that we need reviewed and adjusted on this document are:
1. The daily cost to the client is to be adjusted in the column "Daily Client Out of Pocket Costs."
2. The number of days the client attended during this period should be indicated under "Number of Days in Attendance."
3. Accurate distance is critical in those instances where the client is transported by personal auto and is to be paid mileage up to a maximum of $ 0.25 per mile.
4. Please verify the mode of transportation on all clients in extended employment using the following codes as appropriate:
| NJ | = | New Jersey Transit |
| CT | = | County Transportation System |
| PC | = | Private contractor |
| FC | = | Facility operated |
| PF | = | Private Contractor arranged by facility |
| DD | = | Division of Developmental Disabilities |
| MU | = | Municipal transportation system |
| AU | = | Client/Parent own auto |
| PA | = | PATH (northeast) or PATCO (south). |
After verifying the accompanying list, please use the blank form to list any clients that must be added. Please fill in all the requested information: Client name, address, zip code, social security number, mode of transportation, distance from the facility, daily client out of pocket cost, and the actual number of days the individual attended the program.
Please return this material to the attention of your community rehabilitation program specialist by........................................................
