Notice: The following locations will be closed for in-person services on 1/23/2026 due to inclement weather:

- Racine County Job Center, 1717 Taylor Ave., Racine, WI 53403; Contact Information: 888-258-9966

- Moraine Park Technical College, 2200 Green Tree Rd, West Bend, WI 53090; Contact Information: 608-261-0050

Please contact the above numbers for further information on phone or virtual appointments.

Wisconsin Youth Apprenticeship (YA) Program Employment Verification

Document Number: DETA-19880-E

Description: This form is required to be filled out by YA employers for each Youth Apprentice and uploaded by YA Grant recipients as proof of completion of the work-based requirements by their Youth Apprentices, as detailed in the Wisconsin Youth Apprenticeship Manual and the YA Grant Guidelines. Department of Workforce Development oversight of the YA Program is outlined in Wis. Stat. §106.13. Submission of this form, fully completed, is required for YA program completion and award to the Youth Apprentice of the YA Certificate of Occupational Proficiency.

Comments: This form is protected from modification and enabled for form fill.

Content Contact: DWD MB DET Youth Apprenticeship

Document Attachments:

DETA-19880-E (Electronic version - Word/61 KB)

DETA-19880-E (Electronic version - pdf/682 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.