VILLAGE OF HOMER GLEN
QUESTIONS AND CONCERNS FORM

Fax to: (708) 301-8407 or

Mail to: Village of Homer Glen, 14933 S. Founders Crossing, Homer Glen 60491

Use this form if you would like the Village of Homer Glen to address your concerns.  We will be unable to act on any submissions that do not have your personal information on it.  Please allow the Village sufficient time to process your request.  We may assign your request to a Committee or Commission for further review.  Thank you.

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Please provide the following contact information:

name ______________________________________________________________________________________

Street Address ______________________________________________________________________________

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City ______________________________________________ Zip Code ________________________________

Subdivision ________________________________________________________________________________

Cross Streets ______________________________________________________________________________

Work Phone ___________________________________  Home Phone _________________________________

Email _____________________________________________________________________________________

Please explain the issue you would like resolved:

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As you are the most familiar with this situation, have you thought of a solution that you would like to share?

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