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House Check Request Form

If you would like members of the department to check on your residence, please fill out the information

below. The information will be sent to the Patrol Commander who will insure a security check of your home

is conducted in a timely manner. You will be contacted by phone by responding officers in the event they feel

something is wrong or have any questions.

Name:     

Address:

Contact Number:

Date Leaving:

Date Returning:     

License Pate Number of Vehicle(s) left at residence:

Name of Person Authorized to be at the location while you are gone:

What rooms will lights be left on if any?
 

 

 

 

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