top of page

Vectorhighres2 (1).png

Laurens County Sheriff's Office

216 W Main Street Laurens, SC 29360

Don Reynolds, Sheriff

HOME
ABOUT
TRESPASS NOTICE
TIPS
LITTER COMPLAINTS
NON-FERROUS METAL PERMIT
- SECONDARY METALS RECYCLER APPLICATION
COMMUNITY PROGRAMS
Project SOS Application
SPECIAL NEEDS REGISTRY
DIVISIONS
INMATE SEARCH
- PREA DOCUMENTS
CRIME MAP
JAIL INFO
- Jail Phone System
- Video Visitation Info
CONTACT
- COMPLAINT PROCESS
- COMPLAINT FORM
CAREER OPPORTUNITIES
CIVIL SERVICE FEES
BLOG
MORE

Use tab to navigate through the menu items.

For more information on our community services,
call (864) 681-4509

Application for Senior Outreach Services

Participant Full Legal Name

Birthday

Home Phone

Cell Phone

Address

Years lived here:

Do you own a vehicle?

Vehicle Description:

Preferred Method of Contact:

Telephone Call

Personal Visits

Time of Day:

Morning

Afternoon

Emergency Contact Person: First and Last Name

Emergency Contact Person: Address

Emergency Contact Person: Phone

Emergency Contact Person: Relation to Applicant

Name of Closest Neighbor or Friend:

Friend/Neighbor Address:

Neighbor/Friend Phone:

Is the participant a veteran?>

Serious Health Issues:

Current Medications:

Name of Person Making Request:

Phone Number:

Thanks for submitting! Someone will be in contact with you soon!

© 2017 Laurens County Sheriff's Office

bottom of page