Human Relations Service Request Form

Thank you for your interest in our program! At this time, we are not accepting any new applications. You may add yourself to a waiting list below, and we will contact you when we are able to proceed. We apologize for the inconvenience.

Greenville County Residents Only

*Email:
*Name:
*Location of Residence:	Greenville CountyGreenville City
*Street Address:
*City/State/Zip:
*Phone Number:
*Best time to reach you:
*Type of Service Requested:	Rental Assistance Utilities Evictions Homeless Services Landlord/Tenant Complaints Fair Housing Other:
For Rental Assistance, how many months of rent is owed?
*How did you hear about us?	211/United Way Church Facebook GCRA Greenville County Website Other:
Send me a copy of my responses:	NoYes

*Required fields