Extra Check Request

Zone _____

East Point Police
2727 East Point Street
East Point, GA 30344

Office: (404) 559-6226
Email: Police@EastPointCity.org
Website: www.eastpointcity.org

Extra Check Request
*Please return this form via email, fax or mail to: East Point Police (see above).

Address of Property:

Type of Property:

Name of Owner:

Telephone:

Date Leaving:

MonthDayYear

Date Returning:

MonthDayYear

Will any lights be left on INSIDE of the house or property?:

If yes, where?:

Will any lights be left on OUTSIDE of the house or property?:

If yes, where?:

Will any pets be in the house or property?:

Will any vehicles be left in the driveway or garage?

If yes, please list Year/Make/Model/Color:

Will anyone be checking the house, picking up the mail or newspapers, etc.?

If yes, please list name(s):

Emergency Contact:

Telephone:

If you have a cell phone, pager, or any other number(s), please list:

Additional Comments:

FOR OFFICIAL USE ONLY!

Information Officer:

Date

MonthDayYear

Mission Statement
To provide exceptional city services in the most professional, courteous and effective manner to enhance the quality of life in the City of East Point.