LAWRENCEVILLE POLICE DEPARTMENT

AREA CHECK REQUEST FORM

 

This service is for the residences located inside the city limits of Lawrenceville.  If you are unaware if you reside inside the city limits, you can contact either the Lawrenceville Police at 770-963-2443 or Gwinnett County Police at 770-513-5100.

***Reminder*** Even though your address is Lawrenceville, it does not mean you live inside the city limits.  It may be used for your mailing purposes only.

Date of Request:

Beginning Date:    Ending Date:

Address:

Subdivision:      Nearest Cross Street:

Business or Residents Name:

Email Address:

Contact Phone Number:

In Case of Emergency at Location / Local Emergency Contact:

Name:    Phone:

Name:    Phone:

Will lights be left on at the location?  Yes  No            On Timers?  Yes  No

Locations of lights left on?

Will vehicles be left at the location? Yes  No

Vehicle Descriptions:

Will someone have a key to the vehicle? Yes  No

Name of person w/keys to vehicle: Phone:

Will anyone be checking on plants, pets, etc.? Yes  No

Will that person have a key to the residence? Yes  No

Name of person w/key and access to residence:

Access Persons phone number:

Does the location have an alarm? Yes  No

Will alarm be on?  Yes  No

Name of alarm company: Phone:

 

Additional Information:

 

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Revised: 08/03/10.