HSC Rental Assistance Application

  • Current HSC Rental Assistance Application Page 1
  • HSC Rental Assistance Application Page 2
  • HSC Rental Assistance Application Page 3
  • HSC Rental Assistance Application Page 4
  • HSC Rental Assistance Application Page 5
  • Complete

Status message

En Español: www.unitedwaydgco.org/form/hsc-raa-espanol

I am currently housed/have a lease
Eviction Status
How do you identify?
Are there dependents in the household? If so how many?
What are the ages of your dependents?
more items
Is one of the following agencies working with you on this application?