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Welcome to the Village of Antioch, IL, Action Line
Today is Monday, November 20, 2017.
WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. After 3:30 p.m., and before 7:00 a.m., please call (847)395-8585, which is our dispatch service.
Water Leak / Main Break

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:

Nature of the complaint/suggestion...
 
* Please provide location of leak:
 
Check here to have email confirmation of this submission.

* Information is required.

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:
Please leave this field blank and remove any values that have been populated for it.

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