Request for House Checks

 

If you live or own a business within the Town of Newfields and would like to have checks performed on the premise while you are away, please complete this form and click the submit.  If you would like to print the form and complete by hand, click here.

 

 

Departure Date
Return Date
Will Anyone Be Working on or Have Access to the Premise? *
Are There any Lights on Timers? *
Do You Have An Alarm System? *
Will There Be Any Vehicles Left on the Premise? *
Mail Delivery Stopped? *
Newspaper Delivery Stopped?
Request Checks? *
I understand that by submitting this form, I am requesting security checks on my property and I agree to notify the Newfields Police Department upon my return. I understand that premise checks will be performed as time permits. I understand that by checking yes releases the Newfields Police Department of all liability or damages occurring during this time period.
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