Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.


  1. app

    general ap

  2. CPR Class Registration
  3. I.T. Help Desk

    Use this form to open a ticket for a computer problem.

  4. Pension Board

    Pension Record Form

  5. Volunteer Registration Form

    Use this form to volunteer at East Moline City Hall.

  1. Classes
  2. Electronic Sign Application

    Information needed for citizens to utilize the Electronic Sign located by 7 Eleven at 10th St/18th Avenue.

  3. Job Application
  4. Volunteer Form for East Moline



  1. Request - Payoff for Weed Abatement Services

    To determine if a property has any outstanding recorded or pending liens or other pending charges for weed abatement. This must be... More…


  1. Abandoned Vehicle Notification
  2. Citizens Police Academy Application Form

    Citizens Police Academy Application Form

  3. Community Security Camera Program

    Do you currently utilize private video surveillance at your home or business? If you would like to tell us the you have video... More…

  4. Off-Duty/Extra Police Request Form

    East Moline Police Officers can be hired by third parties to perform the following police duties: 1. Traffic control and pedestrian... More…

  5. Police Services Survey: How Are We Doing?

    You will be assisting the East Moline Police Department by providing useful information concerning our community and how service to our... More…

  1. Citizen Ride Along Request

    You may submit a request for a police ride along. Applicants must be City of East Moline residents, at least 18 years of age, or... More…

  2. Citizen's Radar / Traffic Enforcement Request
  3. Evaluation of Safety and Security Seminar: Places of Worship

    On December 11, 2018 the East Moline Police Department held a Safety & Security Seminar for Places of Worship. You were listed as... More…

  4. Pension Board

    Pension Record Form

  5. Vacation Check Request