WBOA ARB Review Request Form

Date / Time *

Date

Time

Building Address *

Parcel # *

This is the Westfields parcel number found on the parcel map located under on the website at: https://www.westfieldscenter.com/resources/maps/westfields-parcel-map/

Requestors Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

SELECT REVIEW ITEMS

Please select from the option below to to choose the type of review you are seeking.

ARB Review Items

Please choose the purpose for this review.

Total

$0.00

INVOICE INFORMATION

Please fill out appropriate information for where the WBOA should bill for these services. An invoice will be sent within 3 business days and the applicant may pay by check or via credit card.

Company Name (Bill To) *

Name (Bill To Attn:) *

First

Last

Company Address (Bill To) *

Address Line 1

Address Line 2

City

State

Zip Code

Company Name and Address that will show on the WBOA Invoice

Phone (Bill To)

Telephone number WBOA may contact for questions regarding the invoice or payment.

Email (Bill To) *

Email address the WBOA invoice will be sent.

TERMS & CONDITIONS

By submitting this form you agree and approve that the WBOA may start the process of an ARB review and acknowledge that an invoice will be generated and sent to the applicant for this review. Furthermore you understand that until the payment is received and the WBOA/ARB is in receipt of all of the required documents and information requested by the ARB Fact Sheet or instructed by the WBOA and or ARB the review will not begin. All documents and payments must be received by the WBOA/ARB prior to the review.

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Request for WBOA ARB Review Form:

SELECT REVIEW ITEMS

INVOICE INFORMATION

TERMS & CONDITIONS

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