This form is for requesting a close patrol on your business or residence.

Level of close patrol:*

High - Officers going onto property and checking doors, windows, gates, etc. Medium - Officers walking the perimeter of the property

Low - Officers driving by and visually checking perimeter of property from public roadway

Reason for close patrol:*

Name:*

Date of birth:*

Phone number:*

Physical address:*

Departure date:*

Return date:*

Name of person(s) working or having access to your property: please include name and contact numbers and if they are a business what is the name of the business:

If leaving vehicles list license plate numbers, location of vehicles and a brief description including colors:

Pets:*

No Yes

If yes, where and how many?:

Alarms?:*

No Yes

If yes, please enter access code:

Additional comments:

By checking this box you are requesting a security check of your residence or business and agree to notify the Angleton Police Department of your return. You understand that the officers of Angleton Police Department only make security checks as time permits. I understand that the Angleton Police Department cannot and does not guarantee that your property will remain secure during the security check request. You are also aware that this request is only valid for 30 days from the departure date listed above.*

I agree

I do not agree