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Get ADSAP Inter-County Program Client Transfer Form

Y to: ADSAP@daodas.state.sc.us Send a copy to the ADSAP coordinator at the agency to which the client is being referred. County ADSAP Program (Making the Transfer): **1** ADSAP Coordinator (Making Transfer): **2** County ADSAP Program (To Which Transfer is Being Made): **3** ADSAP Coordinator (Receiving Transfer): **4** Client Name: **5** Client Address: **6** **7** **8** (city) Client SC Driver’s License Number **11** Client Date of Birth: **12** Date of ADSAP Enrollment: *.

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