Northfield Township, Michigan

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Vacation Request Form

Vacation/Security Check Form

 

Start Date:                  End Date:

Name and location of the address to be checked.

Name:
Address:
(Northfield Township), MI
Phone: ( )
Email:

Reason for Security Check:

Alarm System: Type of Alarm:
Lights Left On? Location of Lights:

Keys left with anyone?

Name and Address of person checking on your property while your away.

Name:
Address:
Phone: ( )

Other persons with access to the residence (Name, vehicle description, phone number)


Emergency Contact Information (if different from above):

Name:
Address:
Phone: ( )

Any animals on site? If so, type.

Additional Information:
By submitting this form, you are requesting that the Northfield Township Police Department conduct periodic security checks of your premises during your absence. You understand that this is an additional public service of the Northfield Township Police Department and the security check of your premises is not the sole responsibility of the on-duty officers during their patrol assignments. You further understand that situations may arise which could detain or prevent a security check, but shall be assured that every reasonable effort will be made by the on-duty officers to check and protect your premises.

  
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