Transitional Moving Services Referral Form

Oak Tree Support Services A123637100 Household Items T2038-U2 ($300)
Oak Tree Support Services A123637100 Furniture T2038-U1 ($1,000)
Oak Tree Support Services A123637100 Moving Services, Delivery, Damage Deposit, Mileage, and Labor T2038 ($1,700 or Package B = $3,000)

Important Note: Above are the Service Agreement numbers needed to submit your client's Service Agreement through your client's CADI waiver. Please note, we are now requiring the Service Agreement be submitted and approved before your client can receive services. We can provide a letters of guarantees and book the movers, but we are unable to send any physical items for the client until the Service Agreement has been received as approved.

All moves must have a referral form before they can be finalized.  Any referral received less than 10 business days before the planned move is subject to availability and may be declined.

"*" indicates required fields

Client Information:

Client Name*
Date of Birth*
Do you have an Oak Tree Support Services Housing Coordinator*

Case Manager Information:

First Name*
Last Name*

Moving Information:

MM slash DD slash YYYY
Current location:*
(where they are moving from)
New location:
(where they are moving to)
Is there a secondary location for items needing to be moved?*
Select a Package:*
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 300 MB, Max. files: 3.
    This field is for validation purposes and should be left unchanged.