1.
2.
3.
Certification
I have reviewed the information in my Reemployment Plan. I agree to attend scheduled
appointments. I understand that if I do not comply with the above, I may be ineligible to
receive Unemployment Insurance benefits.
Customer Signature: Date:
I met with customer and reviewed this plan
Workforce Advisor: Date:
Docusign CCEDFBC7-5043-4C17-9EBF-580676BBF2C7

INFORMATION SECURITY ENGINEER - QUIDEL
DATABASE ADMINISTRATION - CONTINENTAL SERVICE GROUP
X
SPECIMEN MANAGEMENT TECH - ROCHESTER REGIONAL HEALTH