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Human Services Department Contact Us Form

2. Utility, Rental, & Eviction Prevention Assistance
   Utility, Rental, & Eviction Prevention

   For questions related to utility, rental, and eviction prevention assistance, please click on the link above.

4. COVID-19 Vaccine Information:
   COVID-19 Vaccine

   If you are seeking more information regarding the COVID-19 vaccine, please reach out to the Public Health Department by clicking on the link above.

6. First Name*

8. Last Name*

10. City*

12. Phone Number

14. Email Address*

    You will receive a response to your inquiry within 48 business hours to the email address you provide above.

16. Select Program*

    1. Head Start & Early Head Start
    2. Career/Workforce Services
    3. Home Weatherization
    4. Home Rehabilitation

    1. Lead Safe
    2. Senior & Adult Independent Living
    3. Other

18. Message

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field