New Client Referral Raffle Form
Client Referral Raffle Program Entry Form
Effective August 2014: Clients of Employment Options can use this form to submit a new referral of someone they know who is receiving SSDI or SSI benefits and are looking to return to work. **Before submitting this form, please ensure that the person you are referring has submitted an application to us online. We will check our application system and this person's application must be found in our system before awarding raffle tickets.