To be completed by Operation Dept.

Transitional Housing Client Move-in

Form completed by:

 

Please complete this form and the pre move-in inspection checklist by move-in date, then upload it to the ticket system. 

Input information from the ticket system, as per the case manager. 

Client Name: 

 

Case Manager:

 

Move-In Date and time: 

 

Transitional House: 

 

Room Number: 

 

Operations pre move-in checklist: 

Pre move-in inspection date: 

 

Inspection Results:

 

Drop off linens and towels

 

On move-in day, Operations will hand the key to the client.

Actual move-in date: 

 

Additional Notes: