Form Center

2. City of Whitewater

   312 W. Whitewater St
   PO Box 178
   Whitewater, WI 53190
   262-473-0500

3. Rental Property Registration Form
5. Property Street Address*
7. Property Agent Name*

   (First, Middle, Last)

9. Property Agent Mailing Address*
11. City*
12. State*
13. Zip Code*
15. Agent Phone*
17. Agent Email
19. Rented Property Information
21. Alternate Emergency/Manager/Contact Person's Name for Rented Property
23. Alternate Contact Address
25. City
26. State
27. Zip Code
29. Alternate Contact Phone Number
30. Alternate Contact Email Address
32. How would you prefer we contact you?
    -- Select One --EmailMailPhone
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field