Patrol Check Request - Office of the Sheriff

Name (Requestor Information) *

Street Address *

City *

Cross Street *

Phone Number *

Enter date & time (am/pm) of your departure *

Enter the date & time (am/pm) of your return *

Name (Emergency Contact Information) *

Relationship *

Phone *

Do you have automatic security lights? *

Yes

Do you have a home security alarm? *

Yes

If you have an alarm, what is your alarm company and their contact information?

If you have left any vehicles parked in your driveway, please describe them with make/model/color.

Are there any pets on the property? *

Yes

If you have left any pets, please describe them and where they are located.

Additional Information