HOME OF LIFE MISSIONARY BAPTIST CHURCH
4650 West Madison St., Chicago, IL 60644 | 
773-626-8654 | homeoflife.net
How to Fill Out the Privacy Request Form
You may submit your request in either of the two ways below. You only need to choose one.
OPTION 1 — Download the form and email it to us
1. Download the Privacy Request Form using the button below.
2. Complete and sign the form.
3. Email the completed form to homeoflife4650@att.net
You may also mail or hand-deliver the completed form to:
Compliance Officer, Home of Life M.B. Church, 4650 West Madison St., Chicago, IL 60644
OR
OPTION 2 — Submit the form online
1. Click the button below to open the online form.
2. Complete and submit the form.
3. Let the church know you have submitted it — either in person or by emailing homeoflife4650@att.net
Questions? Call the church office at 773-626-8654 and ask for the Compliance Officer. We respond to all requests within 30 days. There is no charge, and making a request will never change how we treat you.