Use this form if you would like staff at the Village of Homer Glen to address your questions or concerns.

NOTICE:
If you are having trouble submitting this form by email, please print a form from the link below. Fax or mail the completed form to Village Hall.

General Questions Form for Printing

Request to Resolve a Problem Form for Printing

Fill-In Form for Emailing

Please provide the following information:

Today's date?      (mm/dd/yy)

Name                

Street Address    

Address (cont.)  

City  

State/Province  

Zip/Postal Code  

Day Phone                

Evening Phone                 

Cell Phone  

E-mail                  

Subdivision:  

Cross Streets:

Please explain the issue you would like resolved:

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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