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Welcome to the Village of Winthrop Harbor, IL, Action Line
Today is Friday, November 17, 2017.
Snow Plowing: Mailbox Damage

Purpose. This form is used to request a mailbox repair by Public Works or request a check in the amount of $45.00 for a new mailbox to be installed by the homeowner. Note: Depending on the nature of your repair, a permanent fix may not be made until weather permits.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone: (
Address:

* Check all that apply:




5
 
Other information:
 
* Date of damage:
 
* Approximate time of damage:
 
* Is there a police accident report? (Not Required)
 
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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