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Welcome to the Village of Antioch, IL, Action Line
Today is Saturday, May 27, 2017.
Street Name Signs

Purpose. This form is used to communicate with city personnel to request services and request information.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone: (
Fax: (
* Address:
* City:
State:
ZIP:

* Location of problem
 
Nature of the complaint/suggestion...
 
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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
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