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2. The Village of South Chicago Heights appreciates your help in making our village the best it can be.

   Help us identify a problem in your area!
   Should a problem require urgent attention, please call Village Hall immediately at 708-755-1880.
   For a police emergency only, dial 911.

4. Contact Information
6. First Name*
7. Last Name*
9. Your Address*
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. What is your concern?*

    1. Abandoned vehicles
    2. ADA complaint
    3. Fair Housing complaint
    4. Manhole cover loose/protruding/blocked
    5. Pothole

    1. Private property maintenance (weeds, overgrown grass, overgrown trees, etc.)
    2. Storm drain leakage/blockage
    3. Street lights
    4. Street signs

    1. Traffic signals/stop signs
    2. Village property maintenance (weeds, overgrown grass, overgrown trees, etc.)
    3. Water leaking on roadway
    4. Other
20. Brief Description (or other problem not listed)*
22. Location of Problem*

    Please provide an exact address if possible. 
    If there is not an exact address, please identify the road it is on and the nearest cross street.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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