WAG 24-04-03-b: Reconciliation Agreement

PM 24-04-03-b

Use Reconciliation Agreement (Form 2846A) to record the action the client must take to show compliance with the requirement and the timeframe for the action, if the action must be taken after the meeting. All persons taking part in the process are to sign the form: client, worker, and mediator, if any. Contact DCSE as necessary to arrange the compliance opportunity.

Give the client the Form 2846A. File a copy in the record. Provide any other information or instructions the client may need to complete the agreement. Set a control to follow up at the appropriate time.

When the client is able to show cooperation at the meeting and no additional action is needed, do not complete Form 2846A. Write up the meeting in the client's record.