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Safe Harbor Program REFERRAL FORM Complete as much information as possible. The form does not need to be complete in order to be submitted. Contact Safe Harbor 585-473-2464 or via email at safe centerforyouth.net
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How to fill out safe harbour program referral

How to fill out safe harbour program referral?
01
Obtain the referral form: Contact the designated authority or organization responsible for the safe harbour program in your area to obtain the referral form. This form is typically available online or can be requested through email or phone.
02
Provide personal and contact information: Fill out the required fields on the referral form, including your name, address, phone number, and email address. This information is necessary for communication purposes and to ensure accurate identification.
03
Indicate the reason for referral: Clearly state the reason why you are seeking safe harbour program referral. This could be due to experiencing human trafficking, exploitation, or any other form of abuse or victimization. Provide a brief description of your situation but remember to be concise and factual.
04
Describe your needs: In a separate section of the referral form, explain the specific assistance or support you require from the safe harbour program. This can include access to safe housing, legal aid, counseling services, medical assistance, or any other relevant support services.
05
Include any supporting documentation: If you have any documents or evidence that can support your referral and provide further context to your situation, attach them securely to the referral form. This can include police reports, medical records, or any other relevant documentation.
06
Submit the referral form: Once you have completed all the necessary sections of the referral form and attached any supporting documentation, submit it according to the instructions provided. This may involve sending it electronically through email, uploading it to a secure online portal, or mailing it to the designated authority.
Who needs safe harbour program referral?
01
Individuals who have experienced human trafficking: Victims of human trafficking, whether it is labor trafficking or sex trafficking, may require a safe harbour program referral to access necessary support services and resources.
02
Survivors of exploitation or abuse: Those who have faced exploitation, abuse, or any form of violence can benefit from a safe harbour program referral. These programs often offer specialized services to help survivors heal, recover, and rebuild their lives.
03
Anyone at risk of victimization: Individuals who are at risk of becoming victims of human trafficking, such as those in vulnerable situations or with limited support networks, may need a safe harbour program referral to proactively seek assistance and protection.
04
Friends, family, or professionals: Concerned individuals who have knowledge or suspect someone is a victim of human trafficking or abuse can also make a safe harbour program referral on their behalf. It is essential to report and seek help in order to ensure the well-being and safety of potential victims.
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What is safe harbour program referral?
Safe harbour program referral is a process where companies can voluntarily disclose violations of export control regulations to the relevant authorities in exchange for reduced penalties or leniency.
Who is required to file safe harbour program referral?
Companies who have potentially violated export control regulations are required to file a safe harbour program referral.
How to fill out safe harbour program referral?
To fill out a safe harbour program referral, companies must provide detailed information about the alleged violation, including dates, individuals involved, and any corrective actions taken.
What is the purpose of safe harbour program referral?
The purpose of safe harbour program referral is to encourage companies to come forward and disclose violations, ultimately promoting compliance with export control regulations.
What information must be reported on safe harbour program referral?
Companies must report detailed information about the alleged violation, including dates, individuals involved, and any corrective actions taken.
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