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2. In our efforts to make the community safer and to reduce crime, the Stanwood Police Department offers this service free of charge. If requested, we will periodically check the exterior of your home to make sure all doors and windows are secured. We will contact you directly with any questions or concerns that arise.
4. First Name
5. Last Name
7. Address
9. Phone Number
10. Email Address
14. Instructions
    Please complete all sections of this form prior to submission. The information you list on this form will be kept confidential. If there are any changes to the information you provide, after submission, please contact the Stanwood Police Department at 425-388-5290.
16. Reason for Request
18. Type of Premises

    1. Business
    2. Residence
    3. Other
20. If other, please explain.
24. Alarm System on Premises?

    1. Yes
    2. No
26. If yes, what type?
    Audible only, motion activated, etc.
28. System monitored by company?

    1. Yes
    2. No
30. Company Name
31. Company Phone Number
33. Key Holder
    Someone that can respond if alarm activated.
37. What Will Be Left on?
39. Interior Lights

    1. Constant
    2. Motion
    3. Timer
    4. None
40. Exterior Lights

    1. Constant
    2. Motion
    3. Timer
    4. None
41. Radio or Television

    1. Constant
    2. Motion
    3. Timer
    4. None
45. Keys Left With:
47. First Name
48. Last Name
50. Phone Number
52. Address
56. Other Persons That Will Have Access to the Property Such as Relatives, Workers, Neighbors, Employees, Etc.
60. In case of emergency, do you wish to be notified?

    1. Yes
    2. No
62. Method(s) by which you wish to be notified:

    1. Email
    2. Phone
66. I request that a security check be made on the listed property from:
    I request that a security check be made on the listed property from: Start Date

    I request that a security check be made on the listed property from: Start Time

    —

    I request that a security check be made on the listed property from: End Date

    I request that a security check be made on the listed property from: End Time
Leave This Blank:


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

    This field is not part of the form submission.

70. Submit

* indicates a required field