City Key Application Form

OFFICE OF THE CITY CLERK ANNA M. VALENCIA

APPLICATION FOR THE CITY OF CHICAGO MUNICIPAL ID PROGRAM

The Chicago CityKey ID is FREE!

What to bring to your appointment:
1. Proof of Identity (must include photo, and birth date)
2. Proof of Residency (must show Chicago address)
Today's Date

MonthDayYear
Date
New applicantLost/StolenReplacement City KeyUpdating CityKey
Which CityKey ID Event are you registering for?*
Appointment
Full name*

First nameMiddle nameLast name
Date of birth*

MonthDayYear
MaleFemaleNon BinaryNo gender marker on ID
Country of Origin*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
When did you come to the U.S.A ?*

MonthDayYear
Date
YesNo
What's your preferred language?*
Address*

Address (number,street, city & state)

Street Address Line 2

CityState / Province

ZIP Code
Emergency Contact's Name (Optional)

FirstName
Number
Phone numberFormat: (000) 000-0000.
Should be Empty: