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Marysville Police Department: Request for police house check
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1.
Request for police house check
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2.
Property information
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Request for police house check
How does the police house check process work?
Members of the Marysville Volunteer Program provide house checks upon request. Upon receipt of this form, completed in its entirety, members of the Marysville Volunteer Program will conduct the check and document their results. At the completion of the requested checks, the requestor will receive a copy of the documentation. House/Business address numbers must be displayed and clearly visible at the location. Packages delivered during requestor’s absence will not be handled or moved by volunteer. If the requestor returns to the residence before the return date listed on the form, the requestor is required to notify the Marysville Police Department immediately so the checks can be stopped.
How frequently will the police check my house?
If you will be gone from one day up to two weeks, we will attempt to check your house 3-4 times per week if possible. If you will be gone from two to four weeks, we will check your house 2-3 times per week. If you will be gone four weeks or longer, we will check your house one to two times per week as time allows.
Hold harmless statement
THE UNDERESIGNED DOES HEREBY GRANT AND REQUEST THE CITY AND ITS POLICE DEPARTMENT TO VISUALLY CHECK UPON THE PROPERTY LISTED ABOVE. THE UNDERSIGNED DOES HEREBY AGREE TO HOLD HARMLESS THE CITY, ITS EMPLOYEES AND AGENTS FOR ANY AND ALL CLAIMS FOR PERSONAL INJURY, LOSS OR DAMAGE TO PROPERTY THAT MAY BE SUFFERED BY THE UNDERSIGNED THROUGH ANY ACTION OR LACK THEREOF BY A REPRESENTATIVE TO THE CITY. FURTHER, THE UNDERSIGNED UNDERSTANDS AND AGREES THAT THIS IS A VOLUNTARY, FREE SERVICE, DOES NOT CREATE A SPECIAL DUTY UPON THE CITY, WILL BE PROVIDED ONLY AS TIME IS AVAILABLE, AND NO GUARANTEE IS MADE NOR ASSURANCE GIVEN AGAINST LOSS, THEFT OR DAMAGE TO PREMISES.
Electronic signature
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Date signed
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Date signed
Address1
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Address2
City
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State
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Zip
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Property information
Departure date
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Departure date
Return date
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Return date
Type of property
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Private residence
Business
Property owner name
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Phone number where we can reach you while you're away
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Address1
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Address2
City
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State
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Zip
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Email address
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Destination of trip
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Emergency contact
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Protected by alarm system?
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Yes
No
Any lights left on?
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Yes
No
Mail/newspaper/packages stopped?
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Yes
No
Will anyone be working on or have access to the property during your absence?
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Yes
No
If yes, please provide name and phone number of the person/people allowed access
People allowed access during your absence
Do people allowed access have a key?
Yes
No
Licence plate number(s) of vehicle(s) on property
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Do you have any pets in the yard?
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Yes
No
If yes, indicate type and breed
Type and breed of pet(s) in yard
Any additional property information we need to know?
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