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Welcome to the Village of Antioch, IL, Action Line
Today is Monday, March 27, 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.
Public Works Service Request

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:

Please indicate the problem/issue below (check all that apply)
Dead Animal Removal
Graffiti (Reporting)
Illegal Dumping
Line of Sight Obstruction
Loose/Protruding Manhole Cover
Mailbox Damage
Overhanging Trees/Shrubs
Park/City Landscaping Maintenance
Pothole
Roadway Debris
Sewer Backup
Sidewalk Repair
Snow Plowing / Removal
Storm Water/Drainage Problem
Street Light Out
Traffic/Road Signals/Signs
Water Leak
Water Pressure
Water Quality
Water Running into Street
Other
22
 
If you selected other from the list above, please indicate the issue or problem.
 
Please enter a location if applicable and a detailed description of the problem.
 
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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