FORM H1844
Instructions

REFUGEE CASH ASSISTANCE EMPLOYMENT SERVICES
CONTRACTOR REFERRAL

7-2001

PURPOSE

PROCEDURE

When to Prepare

The advisor completes one form for each RCA client when he determines the client (including one who has served out a noncompliance penalty) is required to be registered for employment services.

Number of Copies

An original and two copies.

Transmittal

Initial Referrals —  Attach the original and first copy to Form H1844-A and send both to the contractor.

Second Referral/Supplemental Information —  Send the original and first copy directly to the contractor.

File the second copy in the work registration section of the case record.

Form Retention

Keep the form for three years after the case is closed and audits are completed.

DETAILED INSTRUCTIONS

Section I

The advisor completes one form for each RCA client required to register for employment services. Enter the RCA case name and number, the client's name, date of birth, and mailing address in the space at the top of the form. Enter the contractor's name and address in the space provided. Check the appropriate box and send a referral the same day or no later than the next workday after certification.

Section II

After receiving Form H1844, the contractor

Within 30 calendar days of the date Form H1844 is received, the contractor

The contractor notifies the advisor of job placement or noncompliance by returning the original Form H1844 with Section II completed. Reports of noncompliance must be done within 10 days of the date noncompliance occurred.

After services are initiated, use Form H1844 to report other noncompliance and all job placements.