City of Rolling Meadows Community Development Department Complaint Form

City of Rolling Meadows

Community Development Department

Complaint Form

		* Denotes Required Field

		* Type of Complaint:	Property Health Business
		* Location of Concern or Name of Business:
		Owner of Property:

		Complainant Information
		First Name:
		Last Name:
		Address:
		Home Phone Number:
		Work Phone Number:
		Email Address:
		* Comments (Please give a short description of the problem your are reporting.):