Chicago, IL · Cook County
Affidavit of Written Notice
Applicants or agents use this affidavit to certify that they sent written notice for a Chicago administrative adjustment application to nearby property owners and the ward alderperson.
What this form is
This affidavit certifies that written notice for an administrative adjustment application was sent by USPS Certified Mail to owners of abutting properties and the ward alderperson. The form asks for the property location, mailing date, and applicant or agent signature, printed name, and date. It also calls for a copy of the notice letter and each postmarked Certified Mail sender’s receipt.
Who needs it
Applicants or agents for a Chicago administrative adjustment application use this form to certify that required written notices were sent.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer signs and dates it and attaches the notice letter and postmarked Certified Mail sender’s receipts.
How to submit this form
- 1
Download the Affidavit
Download the Affidavit of Written Notice PDF.
- 2
Complete the Form
Enter the property location and Certified Mail date, then print and sign your name as applicant or agent and date the form.
- 3
Gather the Attachments
Attach the notice letter and the postmarked USPS Certified Mail sender’s receipt for each notice sent.
- 4
Submit to the City
Submit the completed affidavit and attachments to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Affidavit of Written Notice certify?
- It certifies that written notice of an administrative adjustment application was sent by USPS Certified Mail to owners of abutting properties and the ward alderperson.
- What attachments does the affidavit require?
- Attach a copy of the notice letter sent to the abutting property owners and ward alderperson, plus each postmarked USPS Certified Mail sender’s receipt.
- Do I need a notary for the Affidavit of Written Notice?
- No. The signer signs and dates the document; it also calls for the notice letter and postmarked Certified Mail sender’s receipts.
- How do I submit the Affidavit of Written Notice?
- The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Affidavit of Written Notice doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.