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Moving Company Domestic Abuse Support Form
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Email
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Your email
Your name
Your answer
Your Phone Number
*
Your answer
Are you safe right now? Is there anything we can do to help you feel more secure?
*
Your answer
Are you currently living with the person who is abusing you?
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Your answer
Do you have a safe place to go if you need to leave/move quickly? What plan do you have to get out of the home?
Have you spoken to any law enforcement officials or sought legal advice regarding your situation?Do you have any concerns about how your abuser may try to track or monitor you during the moving process?
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Your answer
What date do you have in mind for moving out?
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MM
/
DD
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YYYY
Have you contacted any local domestic abuse organizations for help or support? If not, would you like us to connect you with a local domestic abuse organization for additional resources or assistance?
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Your answer
Is there anything we can do to support you during your move or relocation process, given your circumstances?Is there anything else you'd like to share or discuss regarding your situation, and how we can assist you as a moving company?
*
Your answer
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