Fillable SECURITY CHECK REPORT (City of Maroa)

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SECURITY CHECK REPORT (City of Maroa)

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U.S.A. forms for City of Maroa

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SECURITY CHECK REPORT
Additional date continue on Page ___________________
ADDRESS ___________________________________ NAME ________________________________________
REQUEST MADE BY ______________________________________ PHONE ___________________________
REASON FOR EXTRA PATROL Premise will be vacant Other ________________________________
TYPE OF PREMISES: BUSINESS RESIDENCE OTHER _______________________________
PROTECTED BY ALARM SYSTEM: NO YES, TYPE _____________________________
LIGHTS ON: NO YES, IF SO: CONSTANT NO YES AUTOMATIC NO YES
KEYS LEFT WITH: __________________________________________________________________________
ADDRESS: __________________________________________ PHONE: _______________________
OTHER THAT WILL HAVE ACCESS TO THE PREMISES (Relatives, friends, etc.):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
IN CASE OF EMERGENCY, WOULD YOU LIKE TO BE NOTIFIED BY A COLLECT CALL? NO YES
C/O _______________________________ ADDRESS _____________________ PHONE __________________
I REQUEST THAT A SECURITY CHECK BE MADE OF MY PREMISES FROM _________________________
TO _____________________. I WILL NOTIFY UPON MY RETURN.
SIGNED ________________________________________________________ DATE ______________________
OFFICER’S SECURITY CHECK REPORT
DATE TIME FINDINGS SIGNITURE
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SECURITY CHECK REPORT (City of Maroa)

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Completed 4 August 2020

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