Hampshire, IL · Kane County
Mailbox Damage Reimbursement Request
Hampshire residents use this request form to seek reimbursement for a mailbox or post damaged by Village snow removal equipment.
What this form is
This form lets a Hampshire resident request reimbursement for a mailbox or post that cannot be repaired after damage directly caused by Village snow removal equipment. Notify the Public Works Department within 10 days of the damage for consideration, then submit the signed request with a copy of the replacement purchase receipt. Reimbursement is limited to $45 and one time per season.
Who needs it
A Hampshire resident seeking reimbursement for a mailbox or post damaged directly by Village snow removal equipment can submit this request.
How to submit it
Return the form with a copy of the receipt in person at the Village Clerk's Office at Village Hall or by mail to the Village of Hampshire, PO Box 457, Hampshire, IL 60140.
About notarization
This document is signed without a notary; the signer just signs and dates the request and attaches a copy of the purchase receipt.
How to submit this form
- 1
Download The Request
Download the Mailbox Damage Reimbursement Request form.
- 2
Complete And Sign
Fill in your name, phone, email, and address, then sign and date the request.
- 3
Gather The Receipt
Attach a copy of the receipt for the mailbox and/or post replacement purchase.
- 4
Submit To The Village
Return the form and receipt in person at the Village Clerk's Office at Village Hall or mail them to the Village's PO Box 457 address.
Frequently asked questions
- Do I need a notary for the Mailbox Damage Reimbursement Request?
- No. The resident signs and dates the request without a notary and attaches a copy of the receipt for the mailbox or post purchase.
- How do I submit the mailbox damage reimbursement request?
- Return the form with a copy of the receipt in person at the Village Clerk's Office at Village Hall or mail it to the Village of Hampshire, PO Box 457, Hampshire, IL 60140.
- When should I notify the Village about mailbox damage?
- Notify the Public Works Department within 10 days of the damage for reimbursement consideration.
- How much reimbursement may the Village provide?
- The policy states reimbursement is limited to a maximum of $45 and one time per season.
Need something notarized?
This Mailbox Damage Reimbursement Request doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.