Mifflin Township Police Dept House Check

 

If you are going to be away from home for an extended period of time and would like a house check from time to time, fill out the form below. We will do random checks at your property.  Random checks are not a guarantee that nothing will happen while you are away and we will not be responsible if something does, but it will let us know to keep a lookout for activity at your property when no one should be there. It will allow us to make contact with you or someone you designate in your absence if a problem does arise.

In the details box be sure to include any information such as cars that should be at the house or people who might be doing work or checking on the property. The more information we have the better we will know what to look for when checking on your property.

 

 

Name:

Address:

Address Line 2:

City:

State:

Zip Code:

Date Leaving:
##/##/####

Date Returning:
##/##/####

Lights On a Timer?:

I agree not to hold Mifflin Township Liable if something happens in my absence.

Contact Person:

Contact Phone #:

Second Contact Phone #:

Email Address:

Details pertaining to House check.