Purpose. It is the policy of the Village of Antioch to reimburse residents up to $75.00 for eligible damage to mailboxes from direct plow contact. Use this form to submit your request. Each submittal must be accompanied by a receipt and other other evidence supporting your claim (i.e. photos or any other evidence that you feel proves the Village is responsible for the damage). If there is a police report, please attach (not required).
* Information is required.
Contact Information
Notes:
If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience. Responses may be delayed dependent on staffing. If this is an urgent matter, please call Village offices at 847-395-1000.