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Welcome to the Village of Skokie, IL, Action Line
Today is Monday, May 29, 2017.
WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.
Rodent Observation and Activity Report

Purpose. This form is used to report rodent and rat activity and observations.

* Information is required.

Contact Information

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

* What is the location (including address) of the rodent/rat activity?
 
* Please briefly state your observations.
 
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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