Such notice shall:
(2) Such notice shall:
(i)indicate that a refusal or failure to participate has occurred;#
(i) indicate that a refusal or failure to participate has occurred;
(ii)indicate the specific instance or instances of willful refusal or failure to comply without good cause with the requirements of this Title;#
(ii) indicate the specific instance or instances of willful refusal or failure to comply without good cause with the requirements of this Title;
(iii)indicate that the individual has a right to provide reasons for such refusal or failure to participate;#
(iii) indicate that the individual has a right to provide reasons for such refusal or failure to participate;
(iv)include an explanation of what constitutes good cause for non-compliance and acceptable forms of evidence that may warrant an exemption from work requirements including, but not limited to, evidence of domestic violence, and/or physical and#
(iv) include an explanation of what constitutes good cause for non-compliance and acceptable forms of evidence that may warrant an exemption from work requirements including, but not limited to, evidence of domestic violence, and/or physical and/or mental health conditions. Such evidence may be provided at the conciliation conference;
(v)include the necessary actions that must be taken to avoid a pro rata reduction in public assistance benefits; and#
(v) include the necessary actions that must be taken to avoid a pro rata reduction in public assistance benefits; and
(vi)indicate that, in the case of an applicant for or recipient of family assistance, the individual shall have 10 days from the date of the conciliation notice to request a conciliation, and in the case of an applicant for or recipient of safe#
(vi) indicate that, in the case of an applicant for or recipient of family assistance, the individual shall have 10 days from the date of the conciliation notice to request a conciliation, and in the case of an applicant for or recipient of safety net assistance, 7 calendar days from the date of the conciliation notice to request conciliation.