West Chicago, IL · DuPage County
Claim Form
West Chicago residents or other applicants use this form to report property damage and submit a claim to the city for processing.
What this form is
The Claim Form lets an applicant provide details about property damage, repair costs, bills, and any insurance reimbursement. The city asks applicants to complete it and send it with a copy of the police report, if applicable; photos, witness reports, bills, or other helpful documentation may also support processing.
Who needs it
An applicant seeking to report property damage to the City of West Chicago and have a claim processed should complete this form.
How to submit it
Send the completed form to City of West Chicago Administrative Services, 475 Main Street, West Chicago, IL 60185. Include a police report copy if applicable and any other helpful documentation.
About notarization
This document is signed without a notary; it has a date line, and no notarized or sworn attachment or related step is identified.
How to submit this form
- 1
Download The Form
Download the West Chicago Claim Form PDF.
- 2
Complete The Form
Fill in the applicant and damage details, including repair costs and insurance reimbursement information when applicable.
- 3
Gather Supporting Documents
Include a copy of the police report if applicable and other helpful documents, such as photos, witness reports, or bills.
- 4
Send It To The City
Send the completed form and supporting documents to City of West Chicago Administrative Services, 475 Main Street, West Chicago, IL 60185.
Frequently asked questions
- What is the West Chicago Claim Form for?
- It lets an applicant report property damage and provide information about repairs, bills, and insurance reimbursement for the city's claim processing.
- What documents should I include with the claim?
- Include a copy of the police report if applicable. The form instructions also say to include helpful documentation, such as photos, witness reports, or copies of bills.
- Do I need a notary for the West Chicago Claim Form?
- No. This document has a date line and does not identify a notarized or sworn attachment or related step.
- How do I submit the West Chicago Claim Form?
- Send the completed form to City of West Chicago Administrative Services, 475 Main Street, West Chicago, IL 60185, with applicable supporting documents.
Need something notarized?
This Claim Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.