Report-Request-Question

2. EMERGENCY
   If your matter involves the safety or well-being of yourself or another person, please CALL 911 IMMEDIATELY. For time sensitive non-emergency matters, please call the responsible department during working hours. The Village will reply to all other inquiries on a timely basis during regular business hours.

   If your matter involves the safety or well-being of yourself or another person, please CALL 911 IMMEDIATELY. For time sensitive non-emergency matters, please call the responsible department during working hours. The Village will reply to all other inquiries on a timely basis during regular business hours.

4. What would you like to do?*

   1. Report a Concern

   1. Request Service

   1. Ask a Question

6. GENERAL VILLAGE BUSINESS (Administration Department)

   1. Community Events
   2. Question/Comment for Electronic Public Meeting
   3. Village News (Almanac, Enews, Bloomingdale TV, Front Sign)
   4. Village Website
   5. Licenses (Liquor, Video Gaming, Raffle)

   1. Private Utilities (Comcast, ComEd, Nicor, etc.)
   2. Animal Control (Domestice & Wildlife)
   3. Property Maintenance (Weeds, Junk, etc.)
   4. Other

8. Comment Here

   Please provide applicable property address, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

10. ACCOUNTS PAYABLE/RECEIVABLE (Finance Department)

    1. Utility Billing (Water & Sewer)
    2. Other Billing Questions

12. Comment Here

    Please provide applicable property address, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

14. BUILDING & ENGINEERING Village Services Department)

    1. Businesses Licenses
    2. Building Permits
    3. Code Enforcement

    1. Commercial Signs
    2. Property Maintenance
    3. Road Construction-Maintenance

    1. Stormwater Management
    2. Traffic
    3. Other

16. Comment Here

    Please provide applicable property address, nearby intersection, applicable street light pole number, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

18. PLANNING & DEVELOPMENT

    1. Commercial Development
    2. Land Use

    1. Zoning
    2. Other

20. Comment Here

    Please provide applicable property address, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

22. POLICE (Non-Emergency)

    1. Graffiti
    2. Noise
    3. Parking*

    1. Solicitation (Door-toDoor, Roadway)
    2. Traffic
    3. Other (Non-Emergency)

    *For an Overnight Parking Permit, from the Village website homepage click on "How Do I" - "Apply For" - "Overnight Parking Permit", or directly @ https://www.villageofbloomingdale.org/236/Parking

24. Comment Here

    Please provide applicable property address, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

26. PUBLIC WORKS (Village Services Department)

    The Public Works Division responds to emergency situations such roadway obstructions and street flooding at all times. For such emergency situations please call 911.

    1. Dead Animals/Road Kill
    2. Parkway Trees
    3. Road Conditions (Potholes, etc.)
    4. Sidewalk Conditions

    1. Snow Removal
    2. Stormwater Drainage
    3. Street Lights
    4. Traffic Signs
28. Comment Here

    Please provide applicable property address, nearby intersection, applicable street light pole number, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

30. Water & Sewer Utilities

    The Utilities Division responds to emergency situations such as water main breaks and sewer back-ups at all times, please call the Division during working hour and 911 after hours.

    1. Sanitary Sewer (Lines, Service, Treatment)
    2. Sanitary Sewer (50/50 Grant Program)
    3. Water (Lines, Service, Quality)
    4. Water & Sewer Billing

    1. Water Cross Connection Control
    2. Sewer Odors
    3. Other
32. Comment Here

    Please provide applicable property address, nearby intersection, applicable street light pole number, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

34. DON'T SEE WHAT YOU NEED?
    Please provide detailed information regarding your concern in the Comments box below.

    Please provide detailed information regarding your concern in the Comments box below.

36. Comment Here

    Please provide applicable property address, account information etc. When done, scroll down to the bottom to complete the contact information and to submit.

38. First Name*

39. Last Name*

41. Address1*

43. Address2

45. City*

46. State*

47. Zip

49. Reply Email*

51. Phone Number

    Replies will be emailed unless you request to be called.

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53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

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