Human Relations Service Request Form

Greenville County Residents Only

*Email:

*Name:

*Location of Residence:

Greenville County

Greenville 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:

Yes

*Required fields