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Work Try Out (WTO) Description | WTO Agreement | WTO Evaluation

WORK TRY OUT Evaluation

WTO For: _________________________________________(VESID Consumer)

Hired permanently after completing the WTO:  __ Yes   __ No

Comments:

Employer ______________________________Date_____________________

Total WTO wages paid________________________

For period  ___/___/___     to  ___/___/___

Please complete and return form to NYS VESID with Earnings Report and VESID Voucher for payment.