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2. House Watch
   This service is not available to those that will have someone staying at the residence. This consists of an officer checking the residence and surrounding area for suspicious activity at random times, as time and call load permits. A house watch must be requested by a resident of the location. It will be effective for no more than 30 days. If the resident returns early, please contact the police department and advise them.
4. Increased Patrol
   This service can be requested by an occupant of a location and consists of a drive-by inspection at random times, as time and call load permits. The request must be in relation to a reported crime or suspicious activity. The time limit for an Increased Patrol is two weeks(14 days).
6. Location
7. Residence Phone
9. Requester's Name
10. Emergency Phone
12. Local Emergency Contact Name
13. Contact's Phone Number
15. Date Leaving & Returning
    Date Leaving & Returning Start Date

    —

    Date Leaving & Returning End Date
17. Does Emergency Contact have access to the residence?

    1. Yes
    2. No
18. Mail service/newspaper delivery stopped?

    1. Yes
    2. No
20. Reasonfor Request
    If Increased Patrol, include case or incident number.
22. Please list broken/torn/defective doors, windows or screens.
23. Where are they located?
25. Pets left at residence? Who is caring for them?
    Please list caregiver's name and type of vehicle.
27. Will anyone else be accessing the house for any reason? Please list their info and purpose.
28. Phone Numbers
30. Will lights be on timer?

    1. Yes
    2. No
31. What times are they scheduledto go on/off?
32. Location?
34. Vehicles Left at Residence
    Include where your vehicle is parked, in front, driveway, etc.
36. Vehicle 1
38. Year
39. Make/Model
40. Color
42. License Plate Number
43. State
44. Where?
46. Vehicle 2
48. Year
49. Make/Model
50. Color
52. License Plate Number
53. State
54. Where?
56. Vehicle 3
58. Year
59. Make/Model
60. Color
62. License Plate Number
63. State
64. Where?
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field