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House/Vacation Check Request Form
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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.
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.
Reason for Request
Type of Premises
If other, please explain.
Alarm System on Premises?
If yes, what type?
Audible only, motion activated, etc.
System monitored by company?
Company Phone Number
Someone that can respond if alarm activated.
What Will Be Left on?
Radio or Television
Keys Left With:
Other Persons That Will Have Access to the Property Such as Relatives, Workers, Neighbors, Employees, Etc.
In case of emergency, do you wish to be notified?
Method(s) by which you wish to be notified:
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
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