Patrol By Form

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WE ARE CURRENTLY EXPERIENCING DIFFICULTIES WITH THE PATROL BY FORM.  PLEASE FILL ONE OUT IN PERSON, CALL CITY HALL, OR FAX TO 490-8645.

Link to printable form: Patrol-By Form

 

Please let us know if you are going to be out of town.   Provide us with the appropriate information below.

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Out of Town Neighborhood Watch/Patrol By Request

Name
Address
Date Leaving   MM/DD/YYYY only
Date Returning   MM/DD/YYYY only
Emergency Contact
Emergency Telephone
Your Home Telephone

Persons Authorized on Premises Telephone

Alarm  Yes                        No
Alarm Company

Gate  Opened    Closed   N/A
Gate code, if any

Housekeeper  Yes              No
Yardman Yes              No

Pets Yes                        No
Pets  Loose in yard         Confined to pen or house

If there is a crime at your home while you are gone, do you give the HCVPD permission to process the crime scene? (fingerprints, photographs, etc) YesNo



Vehicles to be left outside

Please provide additional comments in the space provided below:

 
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Copyright © 2007 City of Hill Country Village  Last modified: March 24, 2008