COTTAGE CITY POLICE DEPARTMENT
3820 40TH AVENUE, COTTAGE CITY, MARYLAND 20722
OFFICE: 301-927-9225---------FAX: 301-927-2299
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House Check Request
*Address To Be Checked:
*Requested By:
*Are You the Property Owner?
-Select a choice-
Yes
No
*Address & Phone Number Where Owner Can Be Contacted:
*Departure Date/Time:
*Date/Time of Return:
*Contact Name & Phone No.:
*Does Contact Person Have Key?
-Select a choice-
Yes
No
Key Location If Applicable:
*Alarm Company
-Select a choice-
Yes
No
Name of Alarm Co. if Applicable:
Describe Any Vehicles in Driveway / Front:
*Pets on Premises
-Select a choice-
Yes
No
Lights on Timer?
-Select a choice-
Yes
No
Location of Lights on Timers. Click on Rooms
Living Room
Dining / Kitchen
Basement
2nd Floor Front
2nd Floor Rear
*Mail Delivery Stopped?
-Select a choice-
Yes
No
*Newspaper Delivery Stopped?
-Select a choice-
Yes
No
Any Special Conditions or Comments?
