Transcription of PLAN TO ACHIEVE SELF-SUPPORT (PASS)
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PLAN TO ACHIEVE SELF-SUPPORT (PASS)
Form SSA-545-BK (02-2020) Discontinue Prior Editions Social Security AdministrationPLAN TO ACHIEVE SELF-SUPPORT (PASS)Page 1 of 12 OMB No. 0960-0559 Date Received NameSSNPART A YOUR WORK GOAL What is your work goal? (Show the job you expect to have at the end of the plan. Be specific) Will you be self-employed? If yes, attach a copy of your business plan or contact your PASS Cadre. Yes No Do you have a job coach you pay with your own money? Yes No If yes, will this plan reduce the number of hours you pay the job coach?
SSA-545-BK (02-2020) Page 3 of 12. PART C – YOUR PLAN List the steps that you will take or have to take to reach your work/self-employment goal. Be as specific as possible. • For education -- list the credits for each term and the expected date of graduation.
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