Back-to-Work Form: Once you fill the listed position, please notify us by completing the Back-to-Work Form. This is an important final step in the process.  As part of our agreement with employers, we request this information in order to continue to provide this service at no cost to you and others.  We thank you in advance for your cooperation.

Below are specific instructions for completing the forms:

1. Click on a link below to access the appropriate form.
   
   
2. Complete the form and click the Submit button to send your information to ETR.
   
   
3. After successfully submitting your information, you will be redirected to a confirmation web page, and receive a confirmation e-mail.
   
   
4. If you have multiple job order requests, fill out and submit a Job Order Request Form for the first job. Then use your browser Back button to return to the form. Your original submitted information will still be displayed in the form, and you only need to change those fields where different information is needed. Then submit the form for the second job. Continue this process until all job order requests have been submitted.

Click on any of the following links to access the forms:

• Company Profile Form
• Job Order Request Form
• Back-to-Work Form

[For Microsoft Word versions of the forms click here]