This page is only for the authorized use of Village of Algonquin employees.  Please go to the Service Request & Feedback page to submit your item.

* Denotes Required Information

Contact
First Name	*
Last Name	*
Phone		- - ext.
E-Mail
Request Method	*	Counter Visit    Telephoned    Email Received    Fax Received    Letter Received    Other
Explain "Other" from line above
Reply Method (check all that apply)	*	Email Contact    Telephone Contact    Field Visit    No Reply Necessary
Location
Park	*	-- Select -- ALGONQUIN LAKES PARK BRAEWOOD PARK BROADSMORE PARK CORNISH PARK GASLIGHT PARK HILL CLIMB PARK HIGH HILL PARK HOLDER PARK JAYCEES FIELD KELLIHER PARK LAWNDALE PARK PIONEER PARK PRESIDENTIAL PARK RIVERFRONT PARK SNAPPER FIELD SPELLA PARK STONEYBROOK PARK TOWNE PARK TUNBRIDGE PARK WOOD PARK WILLOUGHBY FARMS PARK WYNNFIELD PARK YELLOWSTONE PARK VILLAGE HALL ARBORETUM ALGONQUIN CEMETERY
Service Issue
Item Type	*	-- Select -- Equipment/Facilities Damaged Litter Refuse Can Full Trail Maintenance Tree Maintenance Turf Maintenance Other
Additional Information
Confirmation
Reported By (initials):	*
Employee Confirmation	*	Y