Homeowner Census Form

Homeowner Census Form

Homeowners must submit the form no later than 3 p.m. on February 28, 2025. After such time, Management may assess a $250 fine for non-compliance.
Homeowner's Contact Information
Name*

First NameLast Name
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com
Unit Number*

Primary Contact Information
If our Property Manager or the Board needs to reach you urgently, what is your preferred method of communication?*

Phone callText messageEmail
Would You Like to Add a Secondary Contact?*

YesNo
Secondary Contact Information
Name

First NameLast Name
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Home Phone (Optional)
Please enter a valid phone number.
Work Phone (Optional)
Please enter a valid phone number.

Assistance in Case of Building Evacuation

If you indicate that assistance is needed to evacuate the building, Management may share your (or the resident's) contact information with the Village of Arlington Heights and/or Arlington Heights Fire Department.
In the event of a building evacuation, are you (or the resident) unable to use the stairs?*

YesNo

Attestation
By submitting this form, I, {name}, attest that all information provided regarding Unit {unitNumber} is correct and complete.
Should be Empty:

Homeowner's Contact Information