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Authorization Form
All hiring managers must complete the Authorization Form below for each candidate and submit the completed form to EmorySCORE@rentalrelocation.com by clicking the 'Send Form' button.
 
Hiring Manager's Information
Hiring Manager's Name:
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Telephone:
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Fax:
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E-mail Address:
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I authorize the following services for the below-named employee:
Employee's Information
Employee is a:
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Contact at work location:
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Origin Street Address:
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City:
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State:
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Zipcode:
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Contact Phone:
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E-mail Address:
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Start Date:
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Department:
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Emory Health Care:
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Spouse / Partner:
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Number of children and ages:
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Transferee is eligible for the following program:
Invalid Input  SCORE RELOCATION PROGRAM
Realtor selection and referral
Home marketing assistance
Mortgage pre-approval
Home finding assistance
Rental home finding assistance
Relocation counseling
Temporary living assistance
Destination area tour
Rebate where permitted
 
Emory is providing the following benefits:
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Amount: Invalid Input
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If capped, Amount:
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If Emory is authorized paid relocation services, please enter:
FSA Number:
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Please enter the text for human verification Please enter the text for human verification
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