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CEPP - Application Waitlist
Housing Stability Services for Gilliam, Morrow, Umatilla & Wheeler counties
Date
-
Year
-
Month
Day
Date
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
-
Area Code
Phone Number
Physical Address
*
Street Address
Street Address Line 2
City
State
ZIP Code
Is your Mailing address the same as your Physical address?
*
Yes
No
Mailing Address
*
Mailing Address
Mailing Address Line 2
City
State
ZIP Code
Approximate back rent owed
*
Do you have a 'Notice to Pay'?
*
Yes
No
Notice type
*
Court Order
72 hour Notice
10 day Notice
30 day Notice
Other
Please explain Notice type
*
Upload Notice
*
Browse Files
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