Bushnell, IL · McDonough County

No notary required

Application for Concrete Sidewalk Reimbursement

Bushnell property owners use this application to request reimbursement for concrete used to replace a sidewalk, with approval and inspections required before reimbursement.

What this form is

The application requests the applicant’s name, property location, sidewalk dimensions, concrete depth, who will perform the work, a reason for replacement, and a sketch. It must be completed before work begins, and City personnel must inspect the site before work starts. If approved, the city inspects again after completion; reimbursement covers concrete only, and a concrete company receipt is required.

Who needs it

A property owner seeking reimbursement for concrete used to replace a sidewalk in Bushnell should complete this application before work begins.

How to submit it

Return the completed application to City Hall at 138 E. Hail Street, Bushnell. After the project, present a concrete company receipt showing the price per yard and yards delivered.

About notarization

No notary is required; the form asks for a date and name, and describes no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the concrete sidewalk reimbursement application PDF.

  2. 2

    Complete The Application

    Provide your name, property location, sidewalk dimensions, concrete depth, work provider, replacement reason, and a sketch.

  3. 3

    Submit Before Work Begins

    Return the completed application to City Hall before starting work so City personnel can inspect the site.

  4. 4

    Provide The Receipt

    After completion, present the concrete company receipt showing the price per yard and yards delivered.

Frequently asked questions

Do I need a notary for the concrete sidewalk reimbursement application?
No. The form asks for a date and name and describes no sworn or notarized attachment.
How do I submit the application?
Return the completed application to City Hall at 138 E. Hail Street, Bushnell. After the project, present a concrete company receipt showing the price per yard and yards delivered.
When must I submit the application?
Complete and return the application before any work begins. City personnel must inspect the site before work starts.
What costs does reimbursement cover?
The application states that reimbursement covers concrete only, not labor or other materials. A concrete company receipt with the price per yard and yards delivered must be presented upon completion.

Need something notarized?

This Application for Concrete Sidewalk Reimbursement doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.