Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Bulky Item Pick Up

  1. Bulky Item Pick Up

    Form residents fill out to have a special pick up done.

Health

  1. Food Service - Food Risk Assessment

    Temperature Controlled for Safety (TCS) food: A food that must be kept hot or cold for safety (milk, meat cut vegetables, etc.) ... More…

  1. Request - Payoff for Weed Abatement Services

    To determine if a property has any outstanding recorded or pending liens or other pending charges for weed abatement. This must be... More…

Police

  1. Abandoned Vehicle Notification
  2. Citizen's Radar / Traffic Enforcement Request
  3. Evaluation of Safety and Security Seminar: Places of Worship

    On December 11, 2018 the East Moline Police Department held a Safety & Security Seminar for Places of Worship. You were listed as... More…

  4. Pension Board

    Pension Record Form

  1. Citizen Ride Along Request

    You may submit a request for a police ride along. Applicants must be City of East Moline residents, at least 18 years of age, or... More…

  2. Community Security Camera Program

    Do you currently utilize private video surveillance at your home or business? If you would like to tell us the you have video... More…

  3. Off-Duty/Extra Police Request Form

    East Moline Police Officers can be hired by third parties to perform the following police duties: 1. Traffic control and pedestrian... More…

  4. Vacation Check Request

Public Works

  1. Pothole Report Form

    Place for people traveling in East Moline to report potholes they encounter

Services

  1. General Contact Us Form
  2. Welcome Sign Advertising Application
  1. Odor Complaint Form

    Use this form to report a concern regarding odors/smell in East Moline. Reported location must be within East Moline borders and an... More…