Heading out of Town? The Police Department will do regular security checks of your home. Simply fill out the form.
*Name:
*Address:
*Phone:
*Dates:
*Out-Of-Town Emergency Number:
*Alarm:
no
yes
*Cars at residence:
no
yes
*Lights on Timers:
no
yes
*Authorized person on premises:
*Do you want the completed form returned to you?:
Additional Information, if needed:
In order to prevent spam, we utilize a security code system for delivery of online forms.


* - denotes required field