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Surveillance Referral

SIU Referral

V.I.A. Referral

These referrals can be used in most internet browsers and they can also be downloaded to your desktop, or any location of your choice.

On your first use the form will ask if you use an email client or a web-based email service.

If you use a desktop email client (for example, Outlook, Lotus, Thunderbird, etc.), clicking on the email submit button will create a new email addressed to This e-mail address is being protected from spambots. You need JavaScript enabled to view it with an XML file already attached. All you need to do is send the mail.


If you use a web-based email service (like Gmail, Hotmail, Yahoo Mail, MSN, Comcast, AOL, etc.) you have several options:

1. Click the Submit button and the form will ask you where you want to save the XML file. Save to your desktop. Create a new email addressed to This e-mail address is being protected from spambots. You need JavaScript enabled to view it and attach the XML file.
Add any insturctions to the email and send.

2. Click the print button and fax the form to
(610) 543-6767.

3. Click the print button and print, scan and email the scan to This e-mail address is being protected from spambots. You need JavaScript enabled to view it Of course clients are always welcome to call us at
(888) 446-7483.

These forms are simply intended to add to your convenience.