Helene Assistance | United Way of Laurens County

Application (must be a Laurens County resident)

First Name

Last Name

Phone Number

Email Address

Address of Affected Home

Address

County

State/Province

ZIP/Postal Code

Country

Laurens County resident

Upload Damage Photo

Upload requirements

Upload Damage Photo (2)

Upload requirements

# of people in affected home (including self)

1

2

3

4 or more

Other…

Ages of people in the home