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PERSONAL CONTACT INFO:

FIRST NAME:

LAST NAME:

DOB:

NICK NAME:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

City:

State:

ZIP CODE:

ID #:

IDENTIFYING SCARS, MARKS, TATTOOS:

BEST METHOD OF COMMUNICATION:

Sex:

Race:

HOME PHONE:

CELL PHONE:

HEIGHT:

WEIGHT:

HAIR COLOR:

EYE COLOR:

IMAGE UPLOAD :
Image File Types Accepted: .jpg, .gif, .png, .tif. Attachment should not exceed 10MB

EMERGENCY CONTACTS:

NAME (EMERGENCY CONTACT 1):

HOME PHONE # (EMERGENCY CONTACT 1):

CELL PHONE # (EMERGENCY CONTACT 1):

EMAIL (EMERGENCY CONTACT 1):

RELATIONSHIP (EMERGENCY CONTACT 1):

NAME (EMERGENCY CONTACT 2):

HOME PHONE # (EMERGENCY CONTACT 2):

CELL PHONE # (EMERGENCY CONTACT 2):

EMAIL (EMERGENCY CONTACT 2):

RELATIONSHIP (EMERGENCY CONTACT 2):

NAME (EMERGENCY CONTACT 3):

HOME PHONE # (EMERGENCY CONTACT 3):

CELL PHONE # (EMERGENCY CONTACT 3):

EMAIL (EMERGENCY CONTACT 3):

RELATIONSHIP (EMERGENCY CONTACT 3):

MEDICAL CONTACT INFORMATION:

DOCTOR'S NAME:

DOCTOR'S PHONE #:

MEDICAL CONDITION:

LIST OF MEDICATIONS:

ADDITIONAL DETAILS:

FAVORITE PLACES TO EAT, VISIT, HANG OUT:

METHOD OF TRANSPORTATION:

ANY USUAL HABITS:

COMMENTS:

Over Night Parking

Provide us the details of your vehicle and the location it will be parked over night. We will add your request to our database to ensure a ticket is not given.

Submit Now

When temporary, extraordinary circumstances require a vehicle be parked on the street overnight, you may submit your parking permission request online.

Parking permission is limited to three (3) days per request and twelve (12) requests per year. Requests for daytime parking permission, permission in excess of three (3) days, or for oversized vehicles must be made by calling the police non-emergency number at 847-501-6034.

Entry into the parking portal does not mean permission is granted. If there are questions about your request or your request is denied, you will be contacted at the phone number provided in your entry. Failure to leave proper contact information will result in denial of your request.

Parking permission is never given for fire lanes, timed zones, loading zones, or on certain streets where parking is prohibited.

If this is an emergency, please call 911

KEY HOLDER INFO:

ALARM INFO:

Comments:

Winnetka Police Department

OVERNIGHT PARKING ENTRY

DETAILS:

OVERNIGHT PARKING

VACATION WATCH ENTRY

CONTACT INFO:

DETAILS:

VACATION WATCH

CONDITION REPORT ENTRY

DETAILS:

CITIZEN REPORTING

INCIDENT LOCATION:

PERSONAL CONTACT INFO:

INCIDENT INVOLVES A VEHICLE:

INCIDENT INVOLVES PROPERTY:

CITIZEN REPORTING

BIKE MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

PET MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

KEY HOLDER ENTRY

COMPANY INFO:

KEY HOLDER INFO:

ALARM INFO:

Key Holder Entry:

KEY HOLDER ENTRY

Residence Info:

KEY HOLDER INFO:

ALARM INFO:

Comments:

AT-RISK RESIDENTS ENTRY

PERSONAL CONTACT INFO:

EMERGENCY CONTACTS:

MEDICAL CONTACT INFORMATION:

ADDITIONAL DETAILS:

COMMENTS:

AT-Risk Residents

Winnetka Police Department