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EPRAP Intake Form

Program Overview

This program was developed to assist families who are presently under a lease with a landlord and who have been directly impacted as a result of COVID-19.  The City of Albany/Department of Community and Economic Development and United Way of Southwest Georgia have partnered to administer this program to renters within the city limits of Albany, GA.  

 

The source of funding for this program is the Community Development Block Grant and the Community Development Block Grant-CV.

 

The program begins on Monday, November 16, 2020 and ends on June 30, 2021.

 

 

 

 

If no, please fill in other members of your household...

Emergency Contact:
Are you receiving assistance from the following sources?

Please provide the monthly amount you receive from the following.  If you do not receve any assistance please leave blank.

By typing your name below you certify that the above information is correct and understand that any financial assistance provided will be required to be repaid if it is found that you willfully provided misinformation.

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