Work First 104D – FAMILY VIOLENCE OPTION

VI. REQUIRED NOTIFICATION OF WORK FIRST PARTICIPANTS

Using the Notification of the Family Violence Option (Attachment 3, DSS-6966), notify the participant of the definition of family violence and the right to request a waiver for some or all of the requirements on their Mutual Responsibility Agreement if family violence is preventing them from fulfilling those requirements. Workers should also advise the participant that services designed to address the violence are available. Complete the Notification, sign it, and have the participant sign it. If the participant refuses to sign the notification, note on the form the refusal and sign. Give a copy to the participant and file the original in the case record. There is no penalty for failure to sign.

Provide the notification at each application. Thereafter, review it at a minimum annually with the adult.

NOTE: Notification is not required at each review. However, you should review the definition of family violence, the services available and the Option if there is concern about or evidence of family violence.