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Maryland Network Against Domestic Violence

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Shelter-to-Shelter Domestic Violence Referral Form

The purposes of this form are to improve coordination and collaboration across shelter programs, to provide domestic violence shelters with a consistent way to refer victims to shelters in other counties when the victim is at risk by remaining at that shelter and/or in that community, and t To assist domestic violence victims with safely relocating from one domestic violence shelter (referred to as the shelter in their home county) to a domestic violence shelter in another county (referred to as out-of-county shelter).

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