This form can be used to request a check of your home or business while you are out of town.
These requests are defaulted to a maximum of a 2-week time span. If you desire a house/business
check for longer than 2 weeks, you can either submit a new request at the end of the first two
week period, or contact the Henry County Police Department directly at: 770-288-8285.
Please provide the following contact information so that we may better serve you.
Fields marked with an ' * ' are required.
Your Information:
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| Name: *
| * Required |
| Phone:*
| * Required |
| Cell: *
| * Required |
Email:*
| * Required*Enter Valid Email
|
| Address/Location To Be Checked: *
| * Required |
| City:*
| * Required |
| State: *
| * Required |
Zip Code:*
| * Required
|
| Start Date: *
| * Required |
End Date: *
(Maximum 2 weeks)
| * Required
|
| Emergency Contact Name:*
| * Required |
| Emergency Contact Number:*
| * Required |
Reason For Check (vacation, trespassing, speeders, etc.): *
|
* Required |
Special Info/Requests (has an alarm, dog in back fence, TV left on, lights left on:
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Details of anyone authorized and may be on property (neighbors, relatives, groundskeeper): |
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Vehicles on property (color/make/model/tag):
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