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Somerdale PD - Security Check Request

The Somerdale Police Department offers property checks as a service to property owners. If your property will be vacant while you are on vacation or out of town, please fill out the form below to have your property checked while you are away. Patrol officers will conduct random checks to make sure the property home is secure and that there is no suspicious activity in the area.

Property Info

Address *

Name *

Request Made By

Contact Info

Cell Phone *

Home Phone *

Reason for Property Check

Property will be vacant

Other

Reason for Property Check (Other)

Property Type

Business

Residence

Other

If other, what type of property?

Has the paper been stopped?

Yes

Has the mail been stopped or forwarded?

Yes

Protected by alarm system?

Yes

Type of Alarm

Lights on?

Yes

Lights on constant?

Yes

Keys left with anyone?

Yes

Key Holder Info

Name

Address

Phone

Other persons who will have access to premises (Relatives, Workers, Neighbors, Employees, etc.)

Emergency Contact Info

Name *

Address *

Phone *

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Official Use Only, Please List Property Check Details Here:

Date	Time	Are premises secure? (If not, state action taken, report filed)	Officer's Signature