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