28th District O'Hare Air Traffic Complaint Form
First Name *
Last Name *
Street Address *
City *
Zipcode *
Home Phone (including area code)
Cell/Alternate Phone (including area code)
E-mail address *
Whom do you believe to be responsible for the problem?
NATURE OF COMPLAINT
Noise Pollution
For the purposes of this section, noise pollution and noise interference relate to situations where normal conversations are impossible or impedes activities such as sleep.
Has the added air traffic increased the noise around your residence?
Clear selection
How often do you experience noise interference at your residence? (times per day)
How long does the noise interference occur? (minutes)
Please provide airplane ID numbers for the disturbances, if possible.
Airplane ID numbers can be found on the bottom or side of a plane and are generally visible from ground while planes are ascending or descending in flight.
Environmental Pollution
What environmental problems are you experiencing as a result of the increased air traffic in your community?
Please check all that apply.
At what frequency do you notice the environmental contaminants that are affecting your community?
Has the environmental pollution damaged your property?
Clear selection
If you answered yes to the previous question, please explain how your property has been damaged in the comment field below.
Public Health
Has the problem affected your health?
Clear selection
If you answered yes to the previous question, please explain how your health has been affected in the comment field below.
Have you consulted a doctor?
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Has your health been negatively affected by increased air traffic in any of the following ways?
Do you believe that the increased air traffic is affecting your overall quality of life?
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If you answered yes to the previous question, please check the areas of your life affected below.
Additional Information
Have you used any other avenues to file complaints regarding this issue (Department of Public Health, Environmental Protection Agency, FAA, O'Hare Noise Compatibility Commission)
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If you answered yes to the previous question, please describe the outcome of your previous complaint in the comment field below.
Would you like to testify under oath at an upcoming enforcement hearing?
If you answer yes to this question, please ensure that you have provided both telephone and e-mail contact information in the first section of your complaint form.
Clear selection
Do you have any additional information or experiences relating to the increased air traffic that you would like to share?
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