Give all participants a family violence referral form.

Family Violence Referral (DHS-3323) (PDF) is for all participants, whether or not they have disclosed family violence experiences, to know the local resources if and when they are needed.

Complete the information on the form about which local agencies respond to family violence before giving the form to participants.

Share the form during the:

· Employment services overview with the Domestic Violence Information (DHS-3477) (PDF).

· First meeting with employment counselor.

Make sure participants are aware this form is in their packet and that they have a choice about whether they take it home.

The form is available in six languages:

Family Violence Referral English (DHS-3323-ENG) (PDF),

Family Violence Referral Hmong (DHS-3323-HMN) (PDF).

Family Violence Referral Russian (DHS-3323-RUS) (PDF).

Family Violence Referral Somali (DHS-3323-SOM) (PDF).

Family Violence Referral Spanish (DHS-3323-SPA) (PDF).

Family Violence Referral Vietnamese (DHS-3323-VIE) (PDF).

Eligibility workers also share the family violence referral form at:

· Application.

· Referral to child support enforcement.

· Recertification for MFIP.