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West Hartford Social Services

50 S Main St. West Hartford, CT 06107


Renter's Rebate Appointment Request

This form is for Renter's Rebate appointments for West Hartford residents ONLY.  The program requires that applicants apply in the town they CURRENTLY live in.  If you lived in West Hartford last year, but have moved out of town, you CANNOT apply here.  Please contact your current Town/City Hall for an appointment.

To request an appointment, please fill out the form below.

Full Name

Full Address

Have you applied for Renter's Rebate before?

Please select one:

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