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Downloadable Brochures, Forms and Applications

• Court Diversion Services - Brochure.pdf
• Emergency Rent Assistance Program - Brochure.pdf
• Family and Community Development - Brochure.pdf
• Independent Service Coordination - Brochure.pdf
• Low Income Home Energy Assistance Program - Brochure.pdf
• Rural Rider - Brochure.pdf
• Senior Services - Brochure.pdf
• Senior Services - Fact Sheet.pdf
• Social Services - Brochure.pdf

• CSBG Board - Appointment Request Form.pdf
• CSBG Scholarship - Application Instructions 2007 - 2008.pdf
• CSBG Scholarship - Application Form 2007 - 2008.pdf
• Court Diversion Services - Mediator Application Form.pdf
• Court Diversion Services - Mediator Confidentiality Statement.pdf
• Emergency Rent Assistance Program - Application Instructions.pdf
• Emergency Rent Assistance Program - Application Form.pdf
• Emergency Rent Assistance Program - Client Rights and Responsibilies Form.pdf
• Emergency Rent Assistance Program - Authorization for Release of Information Form.pdf
• Emergency Rent Assistance Program - Homeless Prevention Screening Tool Form.pdf
• Emergency Rent Assistance Program - Documents Needed for Verification Form.pdf
• Rural Rider - Client Registration Form.pdf
• Senior Services - Advisory Board Appointment Request Form.pdf
• Senior Services - Senior Repair Application Form.pdf
• Senior Services - Senior Repair Contractors Application Form.pdf

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Social Services
Champaign County Regional Planning Commission
1776 E. Washington St.
P.O. Box 17760 • Urbana, IL 61803
Voice: (217) 328-3313
FAX: (217) 328-2426
IL Relay: 711

Web: www.ccrpc.org/socialservices/socialservices.php
Email: Staff contact information

If you have any questions, please email Barb Sweet at bsweet@ccrpc.org.

Reasonable Accommodations Statement: The Champaign County Regional Planning Commission strives to provide an environment welcoming to all persons. Please call 217-328-3313 and speak with the receptionist to request special accommodations.

Last modified October 2006