Membership Application

Use the form below to become a member of the ILWARN network. Registration allows you to receive the latest information from ILWARN, it is not a legal commitment to provide services to other utilities.

After you have filled out this form, you will receive an email which you need to verify your address by clicking on the link provided in the email. The ILWARN administrator will then "approve" your membership application and you will be sent an email to remind you to continue and fill out your entire utility profile and complete the Mutual Aid Agreement.

* = required field

Utility Profile

Utility Name*
Utility Type*
Public Water System Number*
Wastewater Permit Number*
Illinois Region/District*	Click here to find your district
Water Connections
Population Served

Utility Phone and Address

Phone*	( ) ext:
Address Line 1*
Address Line 2
Address Line 3
City*
State*
Zip*
County*

Primary Contact

First Name*
Last Name*
Title
Phone*	( ) ext:
Email*
Desired Password*
Confirm Password*