Forms

Statement to Obtain the Ballot of a Relative

Health Disclosure Form - Formulario de Divulgacion de Salud

Referral for Mental Health Services- Formas de Referencia para Salud Mental

Uniform and Equipment Advance Request Forms

Behavioral Health Services During COVID-19 Response

All Mental Health and Substance Use Disorder Services are still available via Tele-health. Call 1(800) 507-3530 for more information.

How to make a face covering from the CDC

COVID-19 HHSA Services Update

HHSA lobby closures due to COVID-19

Small Business Administration News Release

Eligibility for Economic Injury Disaster Loans is based on the financial impact of the Coronavirus (COVID-19). The interest rate is 3.75 percent for small businesses. The interest rate for private non-profit organizations is 2.75 percent. SBA offers loans with long-term repayments in order to keep payments affordable, up to a maximum of 30 years and are available to entities without the financial ability to offset the adverse impact without hardship.

Applicants may apply online, receive additional disaster assistance information and download applications at https://disasterloan.sba.gov/ela. Applicants may also call SBA’s Customer Service Center at (800) 659-2955 or email disastercustomerservice@sba.gov for more information on SBA disaster assistance. Individuals who are deaf or hard‑of‑hearing may call (800) 877-8339. Completed applications should be mailed to U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX  76155.

The deadline to apply for an Economic Injury Disaster Loan is Dec. 16, 2020.

For more information about Coronavirus, please visit: Coronavirus.gov.

For more information about available SBA resources and services, please visit: SBA.gov/coronavirus.

Economic Injury Worksheet

This form is not required, but is a convenience in clarifying the supporting documentation the state is required to submit to the U.S. Small Business Administration when requesting an Economic Injury Disaster Loan Declaration. This information in any other format would also be acceptable. For your convenience, this form may be filled our electronically or manually. Please submit completed forms to MaryThomas@countyofglenn.net or fax to (530) 934-6463

Glenn County Sheriff Search and Rescue Application

Glenn County Sheriff's Office Search and Rescue Team is looking for new volunteers. Complete an application to start the process to join our team.

GCSO VIPS application

Glenn County Sheriff's Office - Volunteers in Partnership with the Sheriff program is accepting applications.

Glenn County Proof of Ownership Certificate - Walnuts