In order to better assist you in times of an emergency, the Village of Riverside is offering all residents the opportunity to provide the Fire/Police Departments with pertinent information. This program is completely voluntary. The information provided will be used for emergency purposes only.
The Illinois Premise Alert Program is a safety program that supports individuals living with disabilities, while aiding public safety personnel to better respond to their needs.
Not including basement.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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