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Case Management Form

Recovery and Advancement of Informal Sector Employment (RAISE): Reintegration
of Returning Migrants
“Selection of Counselling and Migrant Workers’ Welfare Services”

Section 1: Personal Information

Instruction: Tick the appropriate responses (where applicable).
1.1 Name of the Welfare Center (WC):
1.2 District: 1.4 Upazila:
1.3 Name of Case Manager:
1.5 Registration ID:

1.6 Name of the Beneficiary: ... ... ... ... ... ... ... ... ... ………………………
1.7 Mobile Number 1.8 Sex:
………………………………………………. o Male
o Female
o Other

Section 2: Tailored Reintegration Plan

Instruction: Tick the appropriate responses by the Case Manager after consulting with the beneficiary

2.1.a Psychosocial  Individual Counselling Notes:

Reintegration  Family Counselling
Support  Trauma Counseling
 Psychiatric Treatment
 Others (specify)……………….
2.1.b Social Documentation
Reintegration  National Identification Document (NID)
Support  Passport
 Birth Certificate
Type of Services Planned

 Tax Identification Number (TIN)

 Trade Licence
 Others (specifiy) ……………………………………
Education
 Admission
 Scholarship/Stipend
 Other (specify) ………………………………..…..
Medical Support
 Medical Treatment
 Others (specify) ………………………………..…..
Housing
 Shelter Support
 Support for Land Allocation
 Others (specify) ………………………………..…..
Access to Justice
 Legal Assistance/Aid
 Alternative Disoute Resolution
 Others (specify) ………………………………..…..

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 প্রত্যাগত্ অভিবাসী

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o Social Protection Schemes

Specify the Service(s:)
……………………………………………….
o Special Security Measures
Specify the service(s:)
……………………………………………….
2.1.c Economic Financial Services
Reintegration Bank Loan
Support Microcredit
Grant
Others (specify) ………………………………..…..
o Job Placement
Please specify ………………………………………
o Skills Training
Please specify ………………………………………
o Recogniation of Prior Learning (RPL)
Please specify ………………………………..…..
Material Assistance
 Business Equipment/Tools
 Allocation of Land or Pond for Business
 Others (specify) ………………………………..…..

Remigration
o Information on Safe Migration Process
o Referral to Safe Migration Services
Entrepreneurship Development/Business Expansion
o Business Grant
o Others (specify) ………………………………..…..
2.1.d Date of Planning
………………/……………………../…………………..