Sherborn Police Department
House Check
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Online House Check Form

This form is designed to provide the Sherborn Police Department with information if you will be out of town for any length of time.  Providing this information allows for random checks of your residence while you are away, as well as a way to contact you or a key-holder, if needed.  Information on this form is for the use of the Sherborn Police Department ONLY, and will be kept secure and confidential.  Information will be shredded after your scheduled return.

Very often, house checks are performed during overnight hours.  Please be sure to have your house number displayed on your mailbox, or otherwise visible from the roadway.

Whenever possable, please provide this information 7 days PRIOR to your scheduled departure, and as always, have a safe and happy trip.


PLEASE DELETE THE TEXT IN THE CELL BEFORE TYPING YOUR ANSWERS

Your HOME (Sherborn) contact information:
Full Name:
 * required
Address:

Email address:
 * required
Telephone number:
 * required
Travel Information:
Leave Date:

Return Date:
 * required
 * required

YOUR emergency contact information while away.  If none, enter "NONE":
Property & Key Holder Information:

Please Provide
Alarm Information,
Monitoring Information,
and Keyholder Information
Other Property Information:

Please List Motion Lights, Timers, Etc.  If none, Answer "None":



Vehicles Left on the Property While Away



Please List ALL Workers Expected While Away.  If NONE, answer "None".



Other
Information:
   

©2007 Sherborn Police Department

























©2007 Sherborn Police Department