Vernon Hills - S.M.A.R.T. Speed Trailer Request Form

The information requested below will assist the Traffic Unit with the placement of the S.M.A.R.T. Trailer. Please note that some of the fields are mandatory. While your name, address, and phone numbers are not required, this information may assist should a question come up.

Your Name:
Address:	, Vernon Hills, IL 60061
Home Phone Number:
Work Phone Number:
Best time to call you:
* Street on which you would like to have the S.M.A.R.T. Trailer:

* Direction of Travel (check all that apply)	Northbound
	Southbound
	Westbound
	Eastbound

* Day(s) of Week (check all that apply)	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday

* Time of Day:

A.M.
P.M.

Comments:

* Mandatory Field

Vernon Hills Police Dept.

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S.M.A.R.T. Speed Trailer Request Form