2. Disclaimer: The police department makes every effort to check every security check request we have on file. However, due to our response to other calls for service, we cannot guarantee the security of your property on an individual basis. If you are going to be away, you should take every precaution to secure your property in your absence. Please call 911 or the non-emergency police number, 704-892-7773, after 5pm Monday-Friday for matters that require immediate police response.*

   1. I understand and agree to these limitations.
4. Requested Start Date:*
5. Requested Start and Stop Dates must be less than 14 days.
6. Requested Stop Date:*
8. YOUR CONTACT INFORMATION
10. First Name*
11. Last Name*
13. Address1*
14. Address2
16. City*
17. State*
18. Zip*
20. Email*
21. Day Phone*
22. Evening Phone*
26. OTHER CONTACTS
    This is the person you want us to call if there is a problem. Leave blank if you remain the point of contact.
28. Contact Name
30. Address1
31. Address2
33. City
34. State
35. Zip
37. Contact Day Phone
38. Contact Mobile Phone
42. PROPERTY LOCATION
44. Property Type:*

    1. Residential
    2. Residential - Waterfront on Lake Norman
    3. Business
46. Property Address*
48. City*
49. State*
50. Zip*
52. Please provide detailed directions:
56. Are there vehicles on the property?*

    1. Yes
    2. No
57. Please list and describe:
58. Are there animals on the property?*

    1. Yes
    2. No
59. Please describe:
61. Are people authorized on the property?*

    1. Yes
    2. No
62. Please explain:
63. Alarm system?*

    1. Yes
    2. No
64. Is this alarm monitored?

    1. Yes
    2. No
66. List any additional information such as lights or timers left on:
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit Submit and Print

* indicates a required field