D.8 Incentive Receipt Youth

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YOUTH INTERVIEW INCENTIVE RECEIPT FORM
Thank you for your participation in a research survey for the U.S. Department of Labor,
Bureau of Labor Statistics, conducted by RTI International. To show our appreciation for
the time you spent participating in the interview, we are offering you $
cash. Please
indicate whether you received or refused this payment by checking the appropriate box and
signing below.
I received $

cash.

I refused the incentive payment.

Your Name

Interviewer’s Signature

Your Signature

Date

Control ID#