Online Request Service Form

4404 West Lawrence Avenue. Chicago, IL 60630 | Phone: 773-736-5594 | Fax: 773-736-2333 | Email: ward39@cityofchicago.org

Date	Precinct


Constituent Name	Phone	Email


Address		Zip Code


Address where work is to be done (if different from above)


Nature of Reques
Abandoned Autos Abandoned Autos Asphalt Parkway Restoral Police Matter Cave-in Catch Basin Private Drain Water Leak Sanitation Complaint Immigration Information	Install Sign (type of sign, location) Lights Out (exact location) Missed Garbage Pick-up Traffic Circle Maintenance Tree Branch/Brush Pick-up Potholes (exact address) Sewer Curb Repair 50/50 Sidewalk Program Graffiti Sign Repair (exact location)	Zoning Violation Street Cleaning Block Party Builiding Violation Tree Planting Tree Removal Tree Trimming Rodent Problem Garbage Can Sewer/Basin Cleaning

ONLINE REQUEST SERVICE FORM