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Saturday, November 21, 2009
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Property Check Form
Leave This Blank:
Please complete the online form below and the police department will drive by your property while you are away. If you have any questions or concerns, please contact the Clayton Police Department at (302) 653-8186.
Please secure your animals.
You may also leave a house key at Clayton Police Department if you wish to do so.
Contact Information
Name:
*
Address:
*
Apartment Number:
Subdivision:
City:
*
State:
*
Select a State
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Zip Code:
*
Phone Number:
*
Alternate Phone:
Email Address:
*
Emergency Information
Emergency Contact:
*
Phone Number:
*
Does Emergency Contact Have Key?
*
Yes
No
Local Friend or Relative:
*
Phone Number:
*
Departure Information
Departure Date:
*
Return Date:
*
Departure Type:
*
Vacation
Business
Illness
Death in Family
Relocation
Other
Please Explain Other:
Property Information
Do you have any lights on?
*
Yes
No
Location of Lights:
Any Vehicles on the Property?
*
Yes
No
Vehicle Description(s):
Miscellaneous Information:
* indicates required fields.
Town of Clayton
P.O. Box 1130
414 Main Street
Clayton, DE 19938
Ph: (302) 653-8419
Fx: (302) 653-2017
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