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2. Granite Shoals Police Department ~ Close Patrol Request Form
4. Requesting:*

   1. Vacation Watch
   2. Security Check
   3. Close Patrol
6. Requestor*
8. Address*
10. Email*
12. Phone*
14. Vehicles on the Property*

    1. YES
    2. NO
16. If Yes/Description
18. Lights On:*

    1. YES
    2. NO
20. Pets*

    1. YES
    2. NO
22. If Yes/Description
24. Anyone Taking Care of Property:*

    1. YES
    2. NO
26. Contact Info of Person Taking Care of Property:*
28. Reason*
30. Start Date:*
32. End Date:*
34. Send Confirmation Email to:*
36. Ready to Submit?*

    1. YES
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field