Human Relations Service Request Form
Greenville County Residents Only
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Email:
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Name:
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Location of Residence:
Greenville County
Greenville City
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Street Address:
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City/State/Zip:
SC
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Phone Number:
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Best time to reach you:
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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?
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How did you hear about us?
211/United Way
Church
Facebook
GCRA
Greenville County Website
Other:
Send me a copy of my responses:
No
Yes
*Required fields