E-Gov Services Village of Grayslake

Curb Damage

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Use this form to report any problems with curbs on public streets.

* Information is required.

Contact Information

* First Name:
* Last Name:
Email:
* Daytime Phone:	() –
* Address:
City:
State:
ZIP:

Location of curb damage:

If the address is the same as above, please reenter the address here.

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

Describe the nature of the problem.

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Notes:

Upon submitting a request, you will receive a tracking number which may be used to follow up with your request at a later date. If an email address is provided, you may choose to receive a copy of your request via email which includes this tracking number.

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