City Of Chicago Department Of Business Affairs And Consumer Protection Vacation Rental Investigation Form

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CITY OF CHICAGO
OFFICE USE
DEPARTMENT OF BUSINESS AFFAIRS
AND CONSUMER PROTECTION
Date Received:_________
Retail Fraud Unit
2350 W. Ogden Ave., 2nd Floor
Chicago, IL 60608
Processed By:__________
Tel. 312-743-5185 Fax. 312-743-1841
CSR#:________________
@chicagoBACP
/chicagoBACP
VACATION RENTAL INVESTIGATION FORM
INSTRUCTIONS
Please complete ALL information requested below. Failure to do so may result in a delay or rejection of your complaint.
After completing, please sign and date the form. If your complaint is not legible or is not signed, your complaint will not
be processed.
YOUR INFORMATION
_______________________________________________________________________________________________
Name
_______________________________________________________________________________________________
Address
Unit #
City
State
Zip Code
_______________________________________________________________________________________________
Daytime Telephone No.
Evening Telephone No.
E-Mail
Would you be willing to testify to the violation that has been alleged?
Yes
No
INFORMATION REGARDING THE BUSINESS / PERSON YOU ARE REPORTING
_______________________________________________________________________________________________
Name of Business
_______________________________________________________________________________________________
Address of Business
Unit #
City
State
Zip Code
_______________________________________________________________________________________________
Telephone No.
E-Mail
__________________________________________________________________________________________________________________
Name of Contact Person/Sales Person/Manager
PLEASE MAIL, FAX OR EMAIL TO:
Department of Business Affairs and Consumer Protection
Retail Fraud Unit
2350 W. Ogden Ave., 2nd Floor
Chicago, IL 60608
Fax. 312-743-1841
Email Address:
NOTE: IF YOU ARE FAXING THIS FORM, PLEASE INCLUDE A FAX COVER SHEET

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