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.):
Please contact me as soon as possible regarding this matter.