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2. The Smoke-Free Housing Directory is a listing of multi-unit properties in McLean County that have been recognized by the health department for adopting a smoke-free policy. To list a property in the Smoke-Free Housing Directory, the landlord/property manager must submit this form. If you have trouble filling out this form, please call (309) 888-5968.

4. Property Information
6. Property Name:
8. Adress
10. City
11. State
12. Zip
14. Landlord/Management Company
16. Property Type:

    1. Market rate

    1. Affordable housing

    1. Student housing

    1. Other
20. Smoke-Free Status
22. Units*

    Check all that apply:

    1. 100% of resident leases include a smoke-free policy, making all units in the building smoke-free
    2. The smoke-free policy applies to residents and guests
    3. The smoke-free policy includes all resident patios and balconies
24. Grounds*

    Check all that apply:

    1. All indoor common areas – such as hallways, laundry room, meeting rooms, etc. – are smoke-free.
    2. All outdoor common areas – such as playgrounds, pool area, dog run, etc. – are smoke-free.
    3. 100% of the property – including units, indoor common areas, and outdoor common areas – are smoke-free.
26. Please include a copy of your smoke-free policy language (for our records only):

    (i.e., where smoking is prohibited and where smoking is allowed, who the policy applies to, the definition of smoking and what that includes, enforcement and penalties, etc.)

30. Name:*
31. Title:*
33. Phone:*
34. Email:*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field