Region 2 Adult Workforce Policy
#10-2003 Needs-Related Payments
Program Guidelines

Procedure

1. Participant must be enrolled in an approved full-time training program as defined by the educational
training site and/or by the local WIB ITA/ETP policies. Moreover, the training program must lead to
employment in a demand occupation.

2. NEEDS RELATED PAYMENTS (NRPs) start when the approved full-time classroom training starts.
PAYMENTS are temporary and can only be provided while the participant is enrolled in full time training.

3. NRPs are only made while the participant is in classroom training and during the short break between
terms [two weeks maximum]. Payments are not made during scheduled extended school breaks, such
as the summer recess.

4. There is no guarantee that NRPs will be available throughout the participant’s entire training period. The
provision of NRPs depends upon the availability of funds.

5. If the participant is receiving unemployment compensation or trade readjustment allowance under TAA
or NAFTA-TAA , the participant will not be eligible for NRPs.

6. If the participant is working while attending school, s/he will not be eligible for NRPs. This includes work
experience and work study programs for which the participant receives a wage or stipend.

7. NRPs are not wages and the participant is not an employee of the agency making the payments to the
participant.

8. NRPs are not unemployment insurance benefits and at this time are not considered taxable income by
the IRS.

9. NRPs are processed from the signed Needs Related Payment Request Form [attached]. If the Request
form is received on time, participant will receive the payment by the scheduled bi-weekly pay date. If the
Request forms are turned in late, payments will be made by the next scheduled pay date.

Responsibilities

1. Participant must complete and staff must evaluate a WIA Title 1B Needs Related Payments Analysis
Form [attached].

2. Participant and staff must have first considered all other resources available that will make successful
participation in a full time training program possible. Examples include but are not limited to: Pell
grants, severance pay, other family income [spouse’s income].

3. If NRPs are granted, participant must agree to provide grades or other documentation each term (or at
intervals appropriate to their training schedule) to demonstrate satisfactory progress.

4. If NRPs are granted, participant must agree to notify the adult or dislocated worker program if there is a
change of address and/or telephone number.

5. If NRPs are granted, participant must agree to submit their Needs Related Payments Request Forms on
a timely basis.

Needs Related Payments Analysis Form
Please note that a “NO” answer to question 1 would disqualify you for Needs Related Payments.

Q1 Adult:: Are you unemployed? YES NO
Q1 DW: Are you unemployed? YES NO

Please note that a “YES” answer to questions 2 would disqualify you for Needs Related Payments.

Q2 Adult:: Do you qualify for Unemployment Insurance benefits? YES NO
Q2 DW: Do you qualify for Unemployment Insurance benefits or Trade Readjustment Allowances under
TAA or NAFTA-TAA? YES NO

Please note that a “YES” answer to questions 2 would disqualify you for Needs Related Payments.

Q2 Adult:: Do you qualify for Unemployment Insurance benefits? YES NO
Q2 DW: Do you qualify for Unemployment Insurance benefits or Trade Readjustment Allowances under
TAA or NAFTA-TAA? YES NO

Please note that a “NO” answer to question 3 would disqualify you for Needs Related Payments.

Q3 Adult: Have you ceased to qualify for UI benefits? YES NO
Q3 DW: Have you ceased to qualify for UI benefits or Trade Readjustment Allowances under TAA or
NAFTA-TAA;?? YES NO
Q4 Based upon the responses to questions 1-3, is the participant eligible to receive NRPs?
YES NO

Participant: I have read and agree to comply with the policies for NEEDS RELATED PAYMENTS.
Signature of Participant ________________________________________ Date_____________________

Staff: I have reviewed these policies with the participant, have determined their eligibility to receive NEEDS
RELATED PAYMENTS, and have explained the procedures for collecting NEEDS RELATED PAYMENTS.

Signature of Staff Authorizing Payment _____________________________ Date ____________________

Needs Related Payments Request Form
(Please Print or Type)
Participant’s Name (First, MI, Last) __________________________________ Social Security Number ____________

Address [Number, Street] ________________________________________________________________________

Area Code + Phone Number _____________________________

City, State, ZIP Code (Check Here If New Address) __________________________________________________

Did you receive TAA or NAFTA-TAA
readjustment allowances for the
training week?
Yesq Noq
Amount $
Yesq Noq
Amount $
Were you enrolled in or receiving paid
job training for the training week?
Yesq Noq
Amount $
Yesq Noq
Amount $
Did you maintain full-time hours as
defined by the school?
Yesq Noq
If No, explain on back of form
Yesq Noq
If No, explain on back of form
Did you maintain satisfactory
progress as defined by the school?
Yesq Noq
If no, explain on back of form
Yesq Noq
If no, explain on back of form
If I have collected Needs Related Payments either by error or due to submitting false information, I agree to repay the
amount.
Signature of Participant Date
MAIL OR DELIVER COMPLETED AND SIGNED FORMS TO:
[Insert name and address of payee]
NEEDS RELATED PAYMENTS are processed from this completed form. A check will be mailed to the address above
within 10 working days of receipt of this completed and signed form. Payments cannot be picked up.
Original—Program Copy—Participant