Form Center

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City Clerk

  1. Electronic Attendance Form
  2. Rental Hall Event Notification Form

    Liquor Licensees that hold a Class E - Rental Hall Liquor License are required to give 5 business days notice to the Local Liquor... More…

  3. Special Event Application (Municipal Entities)

    This application is for Municipal Entities only.

  1. Police Questions or Concerns
  2. Special Event Application

Fire

  1. Business Inspection Form

    Please use this form to request a business inspection if we have missed you and find a door hanger.

  2. Smoke Alarm Request Form

    This form is used to request a smoke detector from the Moline Fire Department.

  1. Public Education and Special Event Request Form

    This form is used to request our departments participation at a Public Education or other special event.

  2. Station Tour Request

    Request a station tour

Human Resources

  1. Annual Health Insurance Re-Enrollment Form

    This form is to be completed by all employees during open enrollment to verify health insurance plan election and eligible dependent... More…

  1. Flexible Spending Enrollment Form

Moline Centre Main Street

  1. Shop Local Moline Directory Information Form

    The Moline Main Street Program maintains an online listing of all downtown businesses. We are in the process of launching a new website... More…

Parks & Recreation

  1. Adult Softball Waiver Form

    Moline Parks waiver for for participants in the City Softball League.

  2. Volleyball Player Waiver Form

    Moline Parks waiver for for participants in the City Volleyball League.

  1. Job Application of Interest

Planning & Development

  1. 2019 Lead Contractor Training
  2. Existing Project Sales Tax Exemption Certificate Request
  3. Temporary Outdoor Seating Application
  1. Community Housing Program Preliminary Qualification Form

    This form serves as a preliminary qualification assessment for the City of Moline's housing assistance programs, including: Community... More…

  2. New Project Sales Tax Exemption Certificate Request

Police

  1. Crime Free Housing Program Seminar: February 9, 2021 6:00 pm - 9:00 pm

    The City of Moline is committed to safe, affordable, and quality rental property for our residents. The Moline Police Department Crime... More…

  2. Crime Free Housing Program Seminar: March 9, 2021 8:00 am - 11:00 am

    The City of Moline is committed to safe, affordable, and quality rental property for our residents. The Moline Police Department Crime... More…

  3. Emergency Contact Information Form
  1. Crime Free Housing Program Seminar: January 12, 2021 8:00 am - 11:00 am

    The City of Moline is committed to safe, affordable, and quality rental property for our residents. The Moline Police Department Crime... More…

  2. Deer Harvest Notification
  3. LEO CEO Policy Survey

    Preparing the document for the Mayors

PW - Garbage

  1. Special Pick Up

    Schedule a bulky waste pick up with Public Works

PW - Municipal Services

  1. Adopt a Street Program Application

    Application to participate in Adopt a Street Program. Volunteers interested in cleaning a one-mile section of City Street. The City... More…