REQUIREMENTS:
REQUESTS MUST BE PHYSICALLY DROPPED OFF AT THE POLICE DEPARTMENT, 55 CONSTITUTION DRIVE, BEDFORD, NH (OPEN 24 HOURS).
PERSONS DROPPING OFF A HOUSE CHECK WILL NEED TO SHOW A POSITIVE ID TO THE DISPATCH.
ALL QUESTIONS ON THE FORM MUST BE FILLED OUT.
REQUESTS FOR HOUSE CHECKS CANNOT BE TAKEN OVER THE TELEPHONE.
HOUSE CHECK IS VALID FOR NO MORE THAN 30 DAYS FROM START DATE.
HOUSE CHECK MUST BE FOR 3 DAYS OR LONGER.
HOUSES FOR SALE ARE NOT ELIGIBLE FOR HOUSE CHECKS.
HOUSE CHECKS CANNOT BE TAKEN IF SOMEONE IS STAYING AT THE HOUSE.
HOMEOWNER IS REQUESTED TO CALL THE DISPATCH CENTER WHEN THEY RETURN HOME.
COPY OF POSITIVE ID ATTACHED ________________
PLEASE PRINT:
NAME____________________________________________________________________________
ADDRESS________________________________________________________________________
PHONE NUMBER AT RESIDENCE _________________________________________________
DATE LEAVING____________________ DATE RETURNING__________________________
WHO SHOULD BE CALLED IN CASE OF EMERGENCY?______________________________
DESCRIPTION OF RESIDENCE________________________________________________________________
WHO IS AUTHORIZED ON PROPERTY? WHAT KIND OF CAR DO THEY DRIVE?
_________________________________________________________________________________
__________________________________________________________________________________
ANY VEHICLES IN THE DRIVEWAY?______________________________________________________________________
__________________________________________________________________________________
ANY VEHICLES IN THE GARAGE?________________________________________________________________________
__________________________________________________________________________________
LIGHTS ON TIMERS? YES_____NO_____
LIGHTS ON ALL THE TIME? YES_____NO_____
OUTSIDE LIGHTS? YES____NO____
ANY PETS?____________________________________________________________________________
IF HOUSE IS ALARMED, WHAT TYPE OF SYSTEM:
HONEYWELL_____ ADT_____ CENTRA-LARM_____ OTHER_____ NO ALARM _______
ALARM COMPANY PHONE NUMBER_______________________________________________
NOTE: IF YOUR HOUSE IS ALARMED, THE POLICE DEPARTMENT WILL BE RESPONDING TO ALL ALARMS AT YOUR RESIDENCE, WHILE YOU ARE AWAY. YOU MAY WISH TO CONSIDER GIVING YOUR CODE TO ANY CLEANERS OR CONTRACTORS WHO WILL BE AT YOUR RESIDENCE DURING YOUR ABSENCE.
HOMEOWNERS SIGNATURE_____________________________________________DATE____________________
TO BE FILLED OUT BY THE POLICE DEPARTMENT:
DATE AND TIME RECEIVED:_____________________________________________
RECEIVED BY DISPATCHER _____________________________________________
VP CARD TYPED BY _____________________________________________________
DATE TYPED _______________________________
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