Request for Home/Property Check                             PRINTABLE FORM

The Negaunee Police Department can keep an eye on your home if you plan on being away for an extended period of time.  To submit your request online, fill out the entire form below and then click the Submit button.  Please be sure to include your home phone number as you will be contacted to confirm your request.

First & Last Name:

Address to be checked:

Home Phone: Cell Phone:

Leaving on: Returning:

Will any lights be left on inside your home?
Yes
No

Will any outdoor lights or motion lights be in use?
Yes
No

Who, if anyone, will have a key for your home in the event of an emergency?

Keyholder #1 (Name & Phone)


Keyholder #2 (Name & Phone)


Keyholder #3 (Name & Phone)

Is anyone allowed in your home while you are away? (Choose one option)
No one has permission to be inside my home
Keyholders may be in my home for non-emergency purposes

Other Information We Should Know: