ERBA - Contact Form

ERBA contact form:

ERBA is service provider for Clark, Coles, Crawford, Cumberland, Douglas, Edgar, Jasper, Lawrence and Richland Counties. If you dont see your county listed please look at the https://www.hud.gov/program_offices/housing/nationally_hud_approved_housing_counseling_agenciesdirectory
Which county do you live in? *
If your county is not listed please go to https://www.hud.gov/program_offices/housing/nationally_hud_approved_housing_counseling_agenciesdirectory
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
How did you hear about us?*
Other*
What are you interested in?
Buying a HomeMortgage Assistance (Behind on Mortgage Payments)Type option 3Type option 4
ClarkColesCrawfordCumberlandDouglasEdgerJasperLawrence
What got you behind on your Mortgage?*
What is your current monthly Mortgage payment?*
Who is your Landlord or Mortgage company?
Total Amount Past Due on Mortgage
We will be contacting you within the next few business days. If you do not hear back - please email sandyd@erbainc.org or call 217-331-7031.
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ERBA contact form: