|
SECURITY CHECK #__________ NORTH HANOVER TOWNSHIP POLICE VACATION/SECURITY CHECK REQUEST “SAFEGUARDING YOUR ASSETS” NAME:___________________________________ ADDRESS:_________________________ PHONE ______________________________ DEPARTURE DATE:_____________________________________ RETURN DATE:____________________________________________ DESTINATION OF VACATION:__________________________________________________ PHONE #____________________________ TYPE OF PREMISES: RESIDENCE_____________ BUSINESS____________ OTHER_________________ HAVE THE KEYS TO RESIDENCE OR BUSINESS BEEN LEFT WITH ANYONE? YES or NO IF YES, NAME:_____________________________ ADDRESS:____________________________ PHONE #________________________ WILL ANYONE BE WORKING OR HAVE ACCESS TO THE PREMISES DURING YOUR VACATION? YES or NO IF YES, NAMES OF PERSONS PERMITTED TO BE AT PREMISES:_________________________________________________________ IN CASE OF AN EMERGENCY, DO YOU WISH TO BE NOTIFIED BY TELEPHONE CALL? YES or NO NAME:_______________________________________ PHONE #_______________________________________ ADDITIONAL EMERGENCY CONTACT: NAME:____________________________ PHONE #___________________________________ I REQUEST A VACATION/SECURITY CHECK BE CONDUCTED OF MY PREMISES AND AGREE TO NOTIFY THE NORTH HANOVER TOWNSHIP POLICE UPON MY RETURN. SIGNED:______________________________________________ DATE OF REQUEST:__________________________________________ OFFICER’S SECURITY CHECK REPORT DATE TIME STATE IF PREMISES WERE SECURE OR OTHER * INCIDENT # OFFICER’S INITIALSDATE TIME STATE IF PREMISES WERE SECURE OR OTHER* INCIDENT # OFFICER’S INTIALS *IF PERMISES WERE UNSECURE OR EVIDENCE OF FORCED ENTRY ARE PRESENT, STATE THAT YOU ENTERED AND CHECKED THE PREMISE. IF ANY EVIDENCE OF VANDALISM OR THEFT ARE FOUND, MAKE A SEPARATE REPORT/INVESTIGATION. |