Security Patrol Request Form

If you are going to be away from your home, you may fill a Patrol Request Form and indicate the period of absence. The police department will patrol and check on your home while you are gone.

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Resident Name *

Address *

Email Address *

Prefered Phone Number *

Secondary Phone Number *

Start Date

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End Date

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Dogs on Premise *

Yes

Workers on Premise *

Yes

Do you have timers (for lights) *

Yes

Do you have an alarm? *

Yes

Describe and vehicles on premise *