121 STILLWATER ROAD, MAHOPAC, NY 10541
1-800-759-4253 | P 914-241-1711 | F 914-241-3148 | email: CAREFUL@MOVEWHALENS.COM
 
Whalen's Moving Storage Co., LLC  
Agent for Allied Van Lines
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    Whalen's - Forms & Documents

    E&I MEMBER TEMPORARY HOUSING REQUEST FORM

     
    Our long and short-term, fully furnished, completely equipped apartments offer a high-quality, cost-effective alternative to hotels for your temporary housing needs.
       
    Institution Name:
    Date:
    Authorizing Dept & Contact:
    Contact Phone:
    Email:
    Employee Name:
    Home/Cell Phone:
    Family Size:
    Children's Ages:
    Pets/Breed/Weight:
    # of Days Authorized:
    Employee Email:
    Work Phone:
    Size of Apartment:
    Temp Housing Start Date:
    Destination city/State:
    Special Request/Comments:
    If the Temporary Housing (TH) Specialist is allowed to contact the employee, and we have your department policy on file, the Dept. contact may complete only the top section (unless the request differs from the standard policy). If the TH Specialist is NOT allowed to speak with the employee, or we do not have your department policy on file, please complete all areas of this form.
    Authorization Specifics
    Dept contact is to complete if request differs from policy grid.
    OK to Contact Employee: Yes No
    Rental Invoicing: Bill to Institution Employee Paid
    Pet Deposits Paid By: Institution Employee
    Maid Service Paid By: Institution Employee
    Utilities Paid By: Institution Employee
    Long Distance Paid By: Institution Employee
    Invoicing Instructions:
     
     
    Whalen's - American Moving and Storage Association Whalen's Moving & Storage Co., LLC. will protect our customer's right to privacy and will not share any information about
    you to any other organization unless required by law.
     
     
     
     
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