Please fill out the form below if you would like the St. Joseph Police Department to periodically check on your residence or business. This service is provided to City of St. Joseph residents during an extended absence from their residence (vacation, etc.) Please fill in with all the pertinent information applicable. This will assist us in monitoring your property for suspicious activity. It is also requested that you contact us upon your return. For more information please call 271-4777.

By submitting this form you release the City of St. Joseph Police Department from any and all claims on any incident relating to your property in your absence. The St. Joseph Police Department will make periodic checks on your property, and this form merely provides information of persons to be contacted and other facts if a crime should occur.

Date:
Name:
Phone Number:
Cell Phone Number:
Address:
Date of Departure:
Return Date:
Type of Structure:		Residential Commercial Storage
Will any lights be left on?:		Yes No
If yes, what locations?:
Automatic Timer? On:		AM / PM
Automatic Timer? Off:		AM / PM
Home equipped with an alarm system?:		Yes No
If yes, what company:
Guard animals on property?:		Yes No
If yes, animal location:
Person(s) to notify in case of problems:
Name:
Home/Work Phone number:
Cell Phone number:
Address:
Name:
Home/Work Phone number:
Cell Phone number:
Address:
Additional information that may be helpful to officers: