CLOSE PATROL REQUEST FORM

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Address (street, city, zip):. Day Phone Number: Evening Phone Number: Dates of Request: From: ... FOR OFFICE USE ONLY. V
Prosper Police Department P. O. Box 307 Prosper, TX 75078 (972) 347-9002 ~ Fax (972) 347-9003

PLEASE PRINT AND FAX TO 972-347-9003. THIS FORM MAY ALSO BE BROUGHT IN PERSON TO DISPATCH AT 101 S. MAIN STREET PROSPER, TX 75078.

CLOSE PATROL REQUEST FORM Name of Resident:

Address (street, city, zip): Day Phone Number:

Evening Phone Number:

Dates of Request: From:_________________________________ To __________________________________________ Are there dogs on the premises?

Yes

No

Is there an active alarm? Yes

Are there cars parked at residence?

Yes

No

Lights on Timers? Yes

No

No

If Yes, Alarm Permit Number ___________ Contact Person Who will have access to the residence during the vacation watch request Name:

Day Phone:

Evening Phone:

Name:

Day Phone:

Evening Phone:

Name:

Day Phone:

Evening Phone:

Name:

Day Phone:

Evening Phone:

Name:

Day Phone:

Evening Phone:

Signature of Resident

Date FOR OFFICE USE ONLY

Vacation Request Received Date:

Received By:

Any Issues Observed?

Date:

Officer:

Date Started: Issue:

Date Ended: