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Request For Extra Patrol
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This form has been modified since it was saved. Please review all fields before submitting.
Please fill out this form and submit to request additional Kilgore Police patrol.
Type of Extra Patrol
*
-- Select One --
House Watch
Business Watch
Directed Patrol
Please select the type of extra patrol you are requesting.
Your Name
*
Your Address
*
Your Phone Number
*
Address Needing Patrol
*
Location of problem
*
Span of Patrol Needed
*
Span of Patrol Needed Start Date
—
Span of Patrol Needed End Date
Please note the date you will be leaving and the date you will be returning. House/Business Watches are only good for two weeks. Anything over two weeks will require an additional forms to be submitted.
Day of week and time when problem is occurring
*
Emergency Contact Information
*
Please briefly describe the problem you would like investigated.
*
Will lights be left on?
*
Yes
No
If yes, in what rooms?
*
Will a dog be left at home?
*
Yes
No
If yes, where will it be kept?
*
Will anyone be entering or working around the residence/business while you are gone?
*
Yes
No
If yes, please provide their name and purpose for being on the property.
*
Do you have an alarm at residence/business?
*
Yes
No
If yes, please provide alarm company name and phone number.
*
Please provide information on vehicles left at location (include make, model, color and location of vehicle):
Leave This Blank:
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Email address
This field is not part of the form submission.
Submit
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