Transfer-InGOALS Client ID CL-008099 Current Agency ABC NGO Assigned GOALS Case Manager Priya Nair Date Created 1969-12-11 Transferring Programs
May Alvarado
Auth ReceivedTR-000103EmploymentHousing
Program Transfer Summary
| Program | Current Agency | Route | Authorization Status | GOALS Program Status |
|---|---|---|---|---|
| Employment | ABC NGO | Transfer to GOALS | Authorized | Active |
| Housing | ABC NGO | Transfer to GOALS | Authorized | Active |
Client Information
- Preferred Name
- —
- Date of Birth
- 1987-12-02
- ProviderOne ID
- 203118874WA
- Primary Phone
- (253) 555-0442
- Secondary Phone
- (253) 555-0443
- may.alvarado@email.com
- Address
- 3391 S 12th Ave
- Service County
- Pierce
- Service City
- Tacoma
- Preferred Contact
- Text
- Preferred Language
- Spanish
- Intake Source
- Transfer-In
Current Agency and Provider
- Agency
- ABC NGO
- Agency Contact
- Terrence Poole
- Agency Phone
- (253) 555-9001
- Agency Email
- tpoole@abcngo.org
- Current Provider
- Angela Ruiz
- Provider Phone
- (253) 555-9004
- Provider Email
- —
- Transfer Request Date
- 1969-12-11
- Transfer Reason
- Agency closing its Pierce County service line.
- Additional Notes
- —
GOALS Assignment
- Case Manager
- Priya Nair
- Supervisor
- Sam Vega
- GOALS Service County
- Pierce
- GOALS Service City
- Tacoma
- Expected Transfer Date
- 1969-12-29
- Internal Notes
- —