Vendor Assistance Form

Vendor Assistance Form

Use this form to look up municipal disbursement and edit contact information for your business.
Select your business
Don't see your company name? Add your business name below.
Contact Person Name*

First NameLast Name
Contact Email address*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Total Outstanding Balance
Explain the nature of your inquiry. If this is in regards to an outstanding payment please make sure to upload documents related to services rendered.
Upload your W9

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Upload additional documents

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Disclaimer

By clicking submit you acknowledge that you have contacted the Village of Dolton and it's authorized representatives to resolve this matter. Furthermore you understand that the village will reach out to your business within 3 business days to confirm that we have received your inquiry. Completion of this form does not represent an acknowledgement, verification or guarantee that the information is true, accurate or a board approved debt was incurred by the municipality. Consideration of this information may be provided to the municipality's legal firm as a reference for possible litigation according to village code.
Should be Empty:

Disclaimer