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Customer Referral Form

employU partners with a variety of organizations to broaden the scope of services available to them. Organizations that wish to refer customers in need of disability employment services should have individuals complete this authorization form in order to release their contact information to employU. We are always happy to offer resources to whomever is in need, but wish to respect their privacy and right to choose their service providers.

If there are any questions regarding this form or how to refer someone to employU for services, please contact info@employU.org or call (407) 598-0202.