Security Check

Your Name (required)

Your Address (required)

Phone Number

Departure Date Return Date

Destination

Security System
YesNo

Automatic Lights
YesNo

Have Keys Been Left With Anyone?
YesNo

If Yes - Their Name

If Yes - Their Address

Will anyone be working or have access to premises during your absence ?
YesNo

If Yes - Their Name

If Yes - Their Address

In case of an emergency do you wish to be notified by COLLECT CALL?
YesNo

If Yes - Phone number where you will be staying

I Request a security check be made of my premises and and agree to notify Charlotte County Sheriff's Office of my return.
Initials: Date:

 

Dear Resident,

This security check service in no way guarantees that you property will be safe from vandalism or burglary, but merely provides the Sheriff’s Office with information of your whereabouts and other pertinent facts if a crime should occur.

 

Have a safe journey and please call us upon your return.

 

CCJ-28