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Get Download The Housemate Reference Form HERE (Must Supply - Connectionscny

Emate of mine. I am a person with a developmental disability. To protect my confidentiality , I ask that you compete this form and return it to my Service Coordinator at the Connections of CNY office. (See address below) I appreciate the input you can give me as finding a reliable housemate is important to my life. If you have any questions you can call my Service Coordinator at the number listed below. Thanks for helping me! How long have you know this person? In what capacity do you know this.

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