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Document Number: DETW-18153-E
Description: This form is to be used by WIOA Title 1 staff when enrolling a participant into a WIOA Title 1 program.
Comments: WIOA Title 1 staff complete all sections of this form that are relevant to the participant's program (Adult, Dislocated Worker, Youth) at the time of enrollment. Completed form is to be placed in the participant file and a copy sent to DWD via fax to (608) 327-6044 or encrypted email to: DETWIOADataTitle1@dwd.wisconsin.gov.
Content Contact: Peter Schmitz
Document Attachment: DETW-18153-E (Word/67 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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