EXTRA PATROL  
Please fill out this form in full for any Police related problems.

Name:
Business Name:
Address:
Telephone Number:
Police Beat (if known): Click here to find out what beat you are in: /cau/beat_information.htm -- once you see the map, click on the area where you live to find your beat.
Date 
Name of Person to Contact after hours:
Phone Number (please include cell phones and pagers):
   
Vehicles left at the premise:
(include make, model, color, license plate number and state)
Location of Vehicle:  Driveway Street Parking Lot
Additional Vehicles:
Location of Vehicles:  Driveway Street Parking Lot
     
Who has keys to the premise?: 

Name:
 

Address:
 

Phone Number(s):
(include work, pager, cell phone)
Additional people with keys:

Name:
 

Address:
 

Phone Number(s):
(include work, pager, cell phone)
     
Will anyone else be at the premise?
(landscaper,  cleaning premise, cleaning the pool)

Name:
 

Address:
 

Phone Number(s):
(include work, pager, cell phone)
 

Reason for being at the premise:
(yard work, pool, etc)
Additional people at the Premise:

Name:
 

Address:
 

Phone Number(s):
(include work, pager, cell phone)
 

Reason for being at the premise:
(yard work, pool, etc)
Are there any animals at the premise?

Type of Animal(s):
 

Number of Animals:

  In the premise In the Yard     Both
Do you leaving any Lights On after hours?
(Include timer times & if it can be seen from the front or back of the premise)
Do you have an alarm system?

Yes

 No
 

Monitoring Company:

 

Monitoring Phone #:
Do you have a pool?

Yes

 No
Is there any damage to your premise now? 
(Include exact location & description of damage) 
Please explain why you are requesting an Extra Patrol for your Premise:
Is there any additional Information the Officers should know?