Where your future begins

VR Forms

Form Name Owner Revision Date
Optional Invoice for Providers WSST/Job Coaching 7/23 Amy Hancock 11/20/2023
(TWE) Trial Work Experience Agreement Kristi Berst 02/23/2022
15 Day Letter - English Angela Fujan 02/14/2020
15 Day Letter - Spanish Angela Fujan 05/11/2022
18/23 Month Assessment Action Plan Holly Enriquez 09/05/2018
2024 OJE/TWE/WBLE Bi-weekly Payroll Schedule Melysa Johnson 12/13/2023
A Guide for Supporting Individuals With Developmental Disabilities In The Workplace Cathy Callaway 11/01/2010
ABI/Autism SE Supplemental Questionnaire Carla Lasley 11/30/2018
AbilityOne Process Paige Rose 04/01/2022
Acceptance Agreement Form (Equipment Agreement) Mary Matusiak 02/28/2021
Action Planner Angela Fujan 08/31/2011
ADA Guidance Holly Enriquez 02/24/2017
Agrability Referral Angela Fujan 03/31/2014
Application - English Angela Fujan 10/20/2023
Application - Spanish Angela Fujan 10/20/2023
Appointment Reminder Postcard Sarah Chapin 05/20/2014
Assessment for Competitive Integrated Employment Determination Checklist Kristi Berst 04/01/2024
Assessment Services Cathy Callaway 04/08/2022
Assessment Supports Cathy Callaway 07/01/2023
Assignment Purchases-Medicare Cathy Callaway
Assignment Purchases-Third Party Cathy Callaway
ATP-CPAP Facility Assessment Referral Form Nancy Noha 07/18/2017
ATP/VR Referral Nancy Noha 03/27/2024
Authorization for Exchange of Information-Multi Agency Release Carla Lasley 04/30/2019
Background Screen Release of Information (Disclosure and Authorization Form) Mary Matusiak
Benefits Provider Choice or Declination - English Carla Lasley 04/15/2024
Benefits Provider Choice or Declination - Spanish Carla Lasley 04/15/2024
Blank Memo Post Card Sarah Chapin
BP/Benefits Orientation Checklist Carla Lasley 02/01/2018
BP/Benefits Services Referral Form Carla Lasley 10/17/2019
BP/DHHS Authorization for the Disclosure of Protected Health Information Carla Lasley 01/22/2020
BP/DHHS Authorization for the Disclosure of Protected Health Information-Spanish Carla Lasley 01/22/2020
BP/SSA 3288 Consent for Release of Information - General English Carla Lasley 11/10/2021
BP/SSA 3288 Consent for Release of Information - General Spanish Carla Lasley 11/10/2021
Budget Worksheet-Education Financial Aid Angela Fujan 03/02/2016
Budget Worksheet-Post-Secondary Angela Fujan 05/31/2006
Career Planning Preferences - English Angela Fujan 01/01/2016
Career Planning Preferences - Spanish Angela Fujan 04/15/2020
Case File Order List Angela Fujan 06/04/1919
Case File Request for Information Cathy Callaway 04/13/2023
Case Review Instrument - DD Case Review Paige Rose 07/21/2021
Case Review Instrument - Employment Process Mary Matusiak 05/02/2016
Case Review Instrument - Vocational Evaluation Paige Rose 12/07/2020
Case Review Instrument Checklist-Quality Case Review Angela Fujan 09/21/2020
Case Review Instrument- Clerical Associate Holly Enriquez 07/18/2018
Case Review Instrument- Compliance Pre-Employment Transition Services Lupe Stevens 02/28/2021
Case Review Instrument- General Angela Fujan 06/08/2020
Case Review Instrument- Task Notes Angela Fujan 09/22/2020
Case Review Instrument-Compliance Angela Fujan 09/22/2020
Case Review-Supported Employment (Milestones) Carla Lasley 04/10/2019
Class Work Site Observation Checklist Paige Rose 04/02/2021
Client Reimbursement Cathy Callaway 04/30/2019
Client User ID Password Letter Cathy Callaway 07/15/2021
Clients Removed from Wait List Who are Working Paige Rose 02/25/2020
Code of Conduct Angela Fujan 02/01/2021
Communication Assessment - English Angela Fujan 01/24/2023
Communication Assessment - Spanish Angela Fujan 01/24/2023
Concurrent Work Incentives Guide 2023 - English Carla Lasley 01/30/2023
Concurrent Work Incentives Guide 2023 - Spanish Carla Lasley 07/19/2023
Concurrent Work Incentives Guide 2024 - English Carla Lasley 03/25/2024
Concurrent Work Incentives Guide 2024 - Spanish Carla Lasley 03/25/2024
Confidentiality Agreement Holly Enriquez 07/27/2021
Contact Letter - English Angela Fujan 04/17/2019
Contact Letter - Spanish Angela Fujan 04/25/2022
Continuity of Operations Plan (COOP) for COVID-19 Lindy Foley 08/26/2021
Contracts, Letter Contracts, Purchasing Procedures Cathy Callaway
Corrective Action Plan Cathy Callaway 04/30/2019
CPAP 2.0 Individualized Business Plan (IBP) Mary Kunes-Neary 08/16/2022
DHHS Registry Check Mary Matusiak 03/15/2018
Direct Deposit Enrollment Cinda Wacker 07/31/2013
Direct Purchase Authorization (DPA) Cathy Callaway
Discovery Activity: Application for Employment - English Angela Fujan 05/11/2023
Discovery Activity: Application for Employment - Spanish Angela Fujan 05/11/2023
Discovery Activity: Family Support Network - English Angela Fujan 05/11/2023
Discovery Activity: Family Support Network - Spanish Angela Fujan 05/11/2023
Discovery Activity: Job Skills - English Angela Fujan 05/11/2023
Discovery Activity: Job Skills - Spanish Angela Fujan 05/11/2023
Discovery Activity: Make Sure - English Angela Fujan 05/11/2023
Discovery Activity: Make Sure - Spanish Angela Fujan 05/11/2023
Discovery Activity: Non-Paid Work Experiences - English Angela Fujan 05/11/2023
Discovery Activity: Non-Paid Work Experiences - Spanish Angela Fujan 05/11/2023
Discovery Activity: Work Considerations - English Angela Fujan 05/11/2023
Discovery Activity: Work Considerations - Spanish Angela Fujan 05/11/2023
Discovery Activity: Work Interests - English Angela Fujan 05/11/2023
Discovery Activity: Work Interests - Spanish Angela Fujan 05/11/2023
Discovery Activity: Work Preferences - English Angela Fujan 05/11/2023
Discovery Activity: Work Preferences - Spanish Angela Fujan 05/11/2023
Discovery Activity: Work Values - English Angela Fujan 05/11/2023
Discovery Activity: Work Values - Spanish Angela Fujan 05/11/2023
Electronic Case File Categories/Attachment Types Cathy Callaway 04/01/2024
Emancipated Minor Form Carla Lasley 04/02/2019
Employee Roster Information Holly Enriquez 05/03/2017
Exit Status Decision Tree Paige Rose
External Agency/Business Partner Media Release Mary Matusiak 03/16/2022
Fax Log Tibor Moldovan 05/01/2020
Financial Aid Budget Information Angela Fujan 02/03/2011
Focus Card Enrollment Form Amy Hancock 07/05/2023
Functional Capacities Checklist Angela Fujan 04/10/2019
Functional Cognitive Assessment Referral Keri Bennett 03/01/2024
Guide for Approval of Eligibility and Priority Groups Angela Fujan 11/30/2017
Guide for Nebraska VR Staff Requesting Information from NE Department of Correctional Services Holly Enriquez 08/25/2022
High Cost Request Angela Fujan 09/24/2019
Horizontal Wage Progression Holly Enriquez
I-9 Checklist Holly Enriquez
I-9 Form & Information Amy Hancock 03/06/2024
IL Assessment-Barriers to Employment Carla Lasley 07/31/2008
IL Assessment-Household, Relocation, Cleaning Carla Lasley
IL Assessment-Menu Planning/Prep, Laundry/Clothing Care, Daycare Carla Lasley 07/31/2008
IL Assessment-Rehab Engineering & Assistive Tech Carla Lasley 07/31/2008
IL Assessment-School Needs Carla Lasley 07/31/2008
IL Assessment-Transportation, Health & Hygiene Carla Lasley 07/31/2008
IL Assessment-Work-Site Needs/Accommodations Carla Lasley 07/31/2008
Impairments Checklist Angela Fujan 08/09/2019
Impediment Questions Angela Fujan 04/04/2019
Incident/Accident/Injury Report for Clients & Applicants Holly Enriquez 02/08/2023
Individualized Plan for Employment (IPE) - English Cathy Callaway 07/01/2023
Individualized Plan for Employment (IPE) - Spanish Cathy Callaway 07/06/2023
Information and Referral (I & R) to Other Programs Paige Rose 07/12/2022
Information and Referral (I & R) to Other Programs - Spanish Paige Rose 07/12/2022
Informational Interview Questionnaire Paige Rose 11/20/2018
Initial Meeting Questions Angela Fujan 08/01/2019
Initial Meeting to Next Step Guide Angela Fujan 03/31/2021
IPE – Termination of Service (English) Angela Fujan 04/08/2022
IPE – Termination of Service (Spanish) Angela Fujan 04/08/2022
IPE Amendment of Job Goal at Outcome/Termination of Service - English Angela Fujan 04/13/2022
IPE Amendment of Job Goal at Outcome/Termination of Service - Spanish Angela Fujan 04/13/2022
IPE Guide Angela Fujan 08/30/2019
IPE Services Cathy Callaway 04/08/2022
Job Facts Guide Mary Matusiak 05/31/2014
Job Planning Factors & Job Planning Discussion Angela Fujan 10/26/2021
Job Readiness Factors & Initial Meeting - A Guide for Staff Angela Fujan 10/26/2021
Job Search Agreement and Consent - English Mary Matusiak 03/16/2023
Job Search Agreement and Consent - Spanish Mary Matusiak 03/16/2023
Job Seeking Skills Training Application Mary Matusiak
Job Seeking Skills Training Booklet - English Mary Matusiak 12/01/2017
Key VR Time Frames Angela Fujan 01/02/2019
List of Background Checks Carla Lasley 01/05/2024
Maximus: Notification To Take Ticket Out of Assignment Carla Lasley 09/30/2012
Mediation Referral Angela Fujan 04/30/2019
Medicaid Spreadsheet (No Insurance) Amy Hancock
Medicaid Spreadsheet (With Insurance) Amy Hancock
Meet You Where You Are Model Mary Matusiak 11/24/2020
Meet You Where You Are-Brochure Mary Matusiak 10/29/2015
Merit Stipend Request Holly Enriquez
NCBVI and Nebraska VR MOU Angela Fujan
NE VR Sign Language Interpreting Request Vicki Steinhaur-Campbell 05/05/2016
Nebraska VR ABI Interview Keri Bennett 05/24/2022
Nebraska VR Question and Answers Continuity of Operations Plan (COOP)- COVID 19 Lindy Foley 04/01/2021
Nebraska VR/SPED Inter-Departmental Agreement Lindy Foley 08/22/2018
Next Steps - English Angela Fujan 11/30/2010
Next Steps- Spanish Angela Fujan 11/30/2015
Office Director Letter Angela Fujan 10/07/2022
OJE/TWE Checklist Kristi Berst 02/25/2022
OJE/TWE Consent Kristi Berst 01/12/2022
OJE/TWE Timesheet Kristi Berst 01/12/2022
OJT Letter Mary Matusiak 01/12/2022
On-Line Access to Pay Stub Cathy Callaway 07/15/2021
On-line Access to Pay Stub-Spanish Cathy Callaway 07/30/2021
On-the-Job Report Paige Rose 07/01/2020
OOS Eligibility/Priority Group Letter - English Angela Fujan 05/04/2020
OOS Eligibility/Priority Group Letter - Spanish Angela Fujan 05/07/2020
OOS Off Wait List Letter - English Angela Fujan 02/25/2020
OOS Off Wait List Letter - Spanish Angela Fujan 11/18/2022
OOS Upgrading Priority Group Letter - English Angela Fujan 08/04/2021
OOS Upgrading Priority Group Letter - Spanish Angela Fujan 08/27/2021
Order of Selection (OOS) Fact Sheet Angela Fujan 10/03/2022
Order of Selection (OOS) Fact Sheet Spanish Angela Fujan 10/03/2022
Order of Selection (OOS) Questions & Answers Angela Fujan 05/08/2018
Order of Selection (OOS) Talking Points Lindy Foley 05/03/2018
Order of Selection communication to VR staff on process for working with BH Regions while all categories are closed Lindy Foley 06/04/2018
Order of Selection Communication to VR staff on process for working with DDD while all categories are closed Lindy Foley 06/04/2018
Order of Selection Job Retention Questions Angela Fujan 03/31/2019
Order of Selection Retention Letter Angela Fujan 11/19/2020
Order of Selection Update for BH SE Milestones Carla Lasley 07/18/2018
Orientation Welcome Letter-Word version Sarah Chapin 12/14/2017
Pearls of Placement Reference Guide Mary Matusiak 01/24/2024
Physical Capacities Angela Fujan 02/28/2014
Position Information Sheet Associate Holly Enriquez 10/25/2019
Position Information Sheet Service/Rehab Specialists Holly Enriquez 10/25/2019
Post Secondary Training Justification - PDF Angela Fujan 09/30/2010
Post Secondary Training Justification - Word doc Angela Fujan 09/30/2010
Pre-Employment Transition Services Consent & Information Release - English Lupe Stevens 05/16/2023
Pre-Employment Transition Services Consent & Information Release - Spanish Lupe Stevens 05/16/2023
Pre-Employment Transition Services Consent for a Non-paid Work Based Learning Experience Lupe Stevens 04/30/2019
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.) Lupe Stevens 04/30/2019
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (14-15 y.o.) Spanish Lupe Stevens 04/30/2019
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.) Lupe Stevens 04/30/2019
Pre-Employment Transition Services Consent for a Paid Work Based Learning Experience (16+ y.o.) Spanish Lupe Stevens 04/30/2019
Pre-Employment Transition Services Consent for Non-paid Work Based Learning Experience Spanish Lupe Stevens 04/30/2019
Pre-Employment Transition Services Eligibility/Priority Group Letter (New Students) Order of Selection Lupe Stevens 05/04/2020
Pre-Employment Transition Services Non Participation Letter - English Lupe Stevens 12/19/2019
Pre-Employment Transition Services Non Participation Letter - Spanish Lupe Stevens 09/02/2022
Pre-Employment Transition Services Release of Information English Lupe Stevens 04/29/2020
Pre-Employment Transition Services Release of Information Spanish Lupe Stevens 04/30/2020
Pre-Employment Transition Services Termination after Graduation Letter Lupe Stevens 08/02/2019
Pre-Employment Transition Services Welcome Letter Lupe Stevens 10/20/2017
Pre-Employment Transition Services Welcome Letter Spanish Lupe Stevens 10/20/2017
Pre-Employment Transition Services Work Based Learning Letter-Paid Lupe Stevens 08/30/2017
Pre-Employment Transition Services Work Based Learning Letter-Unpaid Lupe Stevens 08/30/2017
Pre-Employment Transition Services Work-Based Learning Experience (WBLE) Checklist Lupe Stevens 08/29/2023
Pre-Employment Transition Services Work-Based Learning Experience Information Lindsay Brown 05/05/2022
Pre-Employment Transition Services Work-Based Learning Experience Information Spanish Lindsay Brown 05/04/2022
Pre-Employment Transition Services Work-Based Learning Experience Report Lupe Stevens 06/20/2019
Pre-ETS Job Exploration Referral Paige Rose 01/24/2023
Pre-ETS Termination Services after Graduation Letter Spanish Lupe Stevens 04/03/2020
Progressive Employment Model Mary Matusiak 03/31/2022
Proof of Purchase Cathy Callaway 04/30/2019
Provider Invoice Cathy Callaway 02/28/2013
Provider Program Review-Supported Employment Carla Lasley
Purchase of Goods and Services Angela Fujan 05/01/2017
Q & A on Employment Plans Carla Lasley 06/19/2018
Records Transfer Sheet Holly Enriquez 04/06/2023
Release of Information English Angela Fujan 02/13/2024
Release of Information Spanish Angela Fujan 02/13/2024
Request for Certificate of Self-Insurance Holly Enriquez 07/01/2023
Request for Medical Information - English Angela Fujan 04/01/2019
Request for Medical Information - Spanish Angela Fujan 04/01/2019
Request Temporary Access Holly Enriquez 06/06/2022
Schedule A Certification Letter for VR Staff Mary Matusiak 10/01/2018
Section 511 Decision Tree Paige Rose 07/07/2020
Section 511 Decision Tree for Staff Only Paige Rose 07/07/2020
Section 511: CCIR Case Review Checklist Paige Rose 01/24/2023
Section 511: Discovery Payment Schedule Paige Rose 11/27/2018
Section 511: Documentation Checklist for Adults (age 25 and older) Paige Rose 02/24/2020
Section 511: Documentation Checklist for Youth (Age 24 and younger) Paige Rose 02/24/2020
Section 511: Employment Not Expected from Services Letter Paige Rose 09/08/2020
Section 511: Refusal of Pre-Employment Transition Services (While still in High School) Paige Rose 11/30/2020
Section 511: Refusal to Participate - English Paige Rose 01/27/2023
Section 511: Refusal to Participate - Spanish Paige Rose 01/27/2023
Self Employment Discussion Questionnaire-Data Entry Julie Shively 03/24/2021
Self Employment Feasibility Referral Form Julie Shively 05/23/2022
Self Employment Personal Finance Worksheet Julie Shively 02/07/2017
Self Employment Process Chart Julie Shively 01/26/2018
Self Employment Rates & Hourly Estimates Mary Matusiak 05/25/2023
Self Employment-Advantages Julie Shively 03/01/2017
Self-Employment - Green Flags/Red Flags Julie Shively 12/10/2021
Service & Device Application - English Nancy Noha 10/20/2023
Service & Device Application - Spanish Nancy Noha 10/20/2023
Service Agreement DJ Plautz 01/08/2024
Signing of VR Documents chart Carla Lasley 04/02/2019
SOS Personnel Request form (Will download to your Downloads folder) Holly Enriquez
Sources & Uses of Funds Julie Shively 04/09/2021
State Purchasing Bureau Non-CSI Justification Form Cathy Callaway 04/24/2017
State Vehicle Waiver - VR English and Spanish Holly Enriquez 06/04/2019
State VR SSA Coordinators Carla Lasley 07/07/2022
Student Financial Aid Report (SFAR-E) Angela Fujan 04/30/2009
Substance Use Disorders- VR Desk Reference Angela Fujan 11/18/2022
Successful Outcome Letter (Non SSA) in English Angela Fujan 10/07/2022
Successful Outcome Letter (Non SSA) in Spanish Angela Fujan 10/07/2022
Successful Outcome Letter (SS beneficiaries) in English Carla Lasley 10/07/2022
Successful Outcome Letter (SS beneficiaries) in Spanish Carla Lasley 10/07/2022
Suicide Call Holly Enriquez 02/28/2009
Suicide Call Form Holly Enriquez 12/16/2015
Summary of Case Review Findings Angela Fujan 01/13/2020
Summary of Initial Meeting Angela Fujan 04/04/2019
Summary of Initial Meeting-Spanish Angela Fujan 04/04/2019
Supported and Customized Employment - Side by Side Referral Decision Guide DJ Plautz 07/01/2023
Supported and Customized Employment Extended Services for Youth Report & Invoice DJ Plautz 09/20/2023
Supported and Customized Employment Fiscal Chart DJ Plautz 11/22/2023
Supported and Customized Employment Job Coaching/Job Support Report & Invoice DJ Plautz 09/01/2023
Supported and Customized Employment Job Search and Placement - Outcome Report & Invoice DJ Plautz 09/01/2023
Supported and Customized Employment Job Stability Report DJ Plautz 07/01/2023
Supported and Customized Employment Monthly Report DJ Plautz 07/01/2023
Supported and Customized Employment Plan for Job Development - Outcome Report & Invoice DJ Plautz 09/01/2023
Supported and Customized Employment Provider Handbook DJ Plautz 11/22/2023
Supported and Customized Employment Referral DJ Plautz 07/01/2023
Supported and Customized Employment Verification of Employee Hours Worked DJ Plautz 09/01/2023
Supported Self-Employment Guidance Mary Matusiak 05/23/2018
Supported/Customized Employment Payment Schedule DJ Plautz 07/26/2023
Tax Exempt Form (Form 13) Cathy Callaway 03/26/2024
Template, Background, & Instructions for Completion of Employment Plan (I/DD) Carla Lasley
Template, Background, Instructions for BH Employment Plan Carla Lasley 07/09/2018
Termination Letter for Non SSA Recipients in English Angela Fujan 10/07/2022
Termination Letter for Non SSA Recipients in Spanish Angela Fujan 10/12/2022
Termination Letter for SSA Recipients in English Carla Lasley 10/07/2022
Termination Letter for SSA Recipients in Spanish Carla Lasley 10/07/2022
Time Conversion Chart Cathy Callaway
Title II: Social Security Disability Insurance Work Incentives Guide 2023 - English Carla Lasley 01/30/2023
Title II: Social Security Disability Insurance Work Incentives Guide 2023 - Spanish Carla Lasley 01/30/2023
Title II: Social Security Disability Insurance Work Incentives Guide 2024 - English Carla Lasley 12/26/2023
Title II: Social Security Disability Insurance Work Incentives Guide 2024 - Spanish Carla Lasley 12/26/2023
Title XVI: Supplemental Security Income Work Incentive Guide 2023 - English Carla Lasley 01/30/2023
Title XVI: Supplemental Security Income Work Incentive Guide 2023 - Spanish Carla Lasley 07/19/2023
Title XVI: Supplemental Security Income Work Incentives Guide 2024 - English Carla Lasley 03/25/2024
Title XVI: Supplemental Security Income Work Incentives Guide 2024 - Spanish Carla Lasley 03/25/2024
Training Plan Ken Cuevas 09/19/2018
Training Request Ken Cuevas 02/18/2020
Transition Partnership Planning Form Lupe Stevens 08/17/2021
Transition Services Partnership Planner Lupe Stevens 08/16/2021
TSB Log Melysa Johnson
Viability Referral Angela Fujan 06/14/2021
Video & Media Information Release (Client) Sarah Chapin 04/30/2019
Video Conference Participant List Paige Rose 11/09/2018
Vocational Evaluation Referral Paige Rose 12/08/2022
Volunteer/Non-Paid Accident Coverage Holly Enriquez 07/01/2022
Volunteer/Unpaid Intern Holly Enriquez
Voter Registration Disclaimer Holly Enriquez 04/01/2020
Voter Registration Disclaimer-Spanish Holly Enriquez 04/14/2020
Voter Registration Form Spanish Holly Enriquez 04/28/2021
Voter Registration Form English Holly Enriquez 04/28/2021
VR Eligibility for DD Letter Paige Rose 11/20/2018
VR Financial Aid Angela Fujan 11/10/2022
VR Process Chart Angela Fujan 10/26/2021
VR Profile for Supported or Customized Employment Paige Rose 04/30/2019
VR Psychological Narrative Report Guidelines Angela Fujan 08/31/2006
VR Referral Form - English Angela Fujan 10/20/2023
VR Referral Form - Spanish Angela Fujan 10/20/2023
VR Vendor Office Listing Cathy Callaway 12/31/2012
VR/SSA 3288 Consent for Release of Information - General English Carla Lasley 11/10/2021
VR/SSA 3288 Consent for Release of Information - General Spanish Carla Lasley 11/10/2021
W-4 Employee's Withholding Allowance Certificate Holly Enriquez 03/06/2024
W-4N Employee’s Nebraska Withholding Allowance Certificate Holly Enriquez 07/05/2023
W-9 & ACH Enrollment Cinda Wacker
Weekly Job Search Record Mary Matusiak
Welcome Letter with Link to Orientation Video-Constant Contact Sarah Chapin 12/13/2017
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - English Mary Matusiak
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request - Spanish Mary Matusiak
Work Opportunity Tax Credits - 8850 - Pre-Screening Notice & Certification Request Instructions Mary Matusiak
Work Opportunity Tax Credits - 9061 Individual Characteristics - English Mary Matusiak
Work Opportunity Tax Credits - 9061 Individual Characteristics - Spanish Mary Matusiak
Work Schedule Holly Enriquez
Work-Based Learning Experience (WBLE) Timesheet Lindsay Brown 06/13/2023

back to top