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VILLAGE OF WILLIAMSVILLE, ILLINOIS

Williamsville Police Department

124 S. Walnut St., Williamsville, IL 62693 · (217) 566-3634 (non-emergency)

Office use only

Date received
Received by
Tracking no.

Business Check Request

Officers will periodically check the exterior of your business while it is closed for a holiday, renovation or other extended period. Please submit at least 48 hours before closing.

Please print clearly in black or blue ink. Fields marked * are required.

1Business and contact

Business name *
Business address *
Your name * — Owner, manager or key holder.
Phone number *
Email address *

2Dates closed

Closed from *
Reopening on *

3Anything officers should know?

Special instructions — Alarm details, staff or contractors authorised to be on site, where the key holder can be reached.

I certify that the information on this form is true and accurate to the best of my knowledge.

Signature Date