CLSR 2011 Application
Please Note: This application is hosted by www.jotform.com
*Attention Environmental Health E-Pay Customers. As of Thursday, November 7, 2013 all Environmental Health on-line application forms are temporarily not available on E-Pay. Electronic payments may still be made though for Loan Inspections on E-Pay. We apologize for any inconvenience this may have caused you. We will keep you posted as to when the forms will be electronically operational. Loan Inspection forms are available under Environmental Services (Forms) or you may click here to go to the page.
401 Division Street P.O. Box 4009, Rockford, IL 61110-0509 • Phone: 815-720-4000 • Fax: 815-720-4001