East Alton, IL · Madison County

No notary required

Agent Designation Form

Property owners use this form to designate agents for occupancy permit applications, code enforcement contacts, and emergency contacts for listed East Alton properties.

What this form is

This form lets a property owner designate agents to act on their behalf for occupancy permit applications, code enforcement contacts, and emergency contacts for the listed properties. It asks for the owner’s and agents’ contact information, property addresses and unit counts, and the owner’s signature and date. The form says owners should update it when an agent or property changes.

Who needs it

Property owners who want to authorize agents for occupancy permit applications, code enforcement contacts, or emergency contacts for their East Alton properties should complete this form.

How to submit it

The form lists the Building & Zoning Department at 232 Church St., East Alton, IL 62024, phone 618-259-1185, and [email protected].

About notarization

This document is signed and dated by the property owner without a notary; it does not identify any notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Agent Designation Form.

  2. 2

    Complete The Form

    Provide the property owner’s and agents’ information, list East Alton properties and unit counts, and sign and date the form.

  3. 3

    Gather Attachments

    The form does not identify any attachments to gather.

  4. 4

    Submit To The Department

    Use the Building & Zoning Department contact information printed on the form.

Frequently asked questions

What does the Agent Designation Form authorize?
It designates agents to act for the property owner for occupancy permit applications, code enforcement contacts, and emergency contacts for properties listed on the form.
Who completes the Agent Designation Form?
The property owner provides their information, lists authorized agents and East Alton properties, then signs and dates the form.
Do I need a notary for the Agent Designation Form?
No. The property owner signs and dates this form without a notary; it does not identify a notarized or sworn attachment or related step.
How do I submit the Agent Designation Form?
The form lists the Building & Zoning Department at 232 Church St., East Alton, IL 62024, and [email protected].

Need something notarized?

This Agent Designation Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.