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Bedford NH Police Department

 REQUIREMENTS:

REQUESTS MUST BE PHYSICALLY DROPPED OFF AT THE PUBLIC SAFETY COMPLEX (OPEN 24 HOURS). 

PERSONS DROPPING OFF A HOUSE CHECK WILL NEED TO SHOW A POSITIVE ID TO THE DISPATCHER.   

                             ALL QUESTIONS ON THE FORM MUST BE FILLED OUT. 

REQUESTS FOR HOUSE CHECKS CANNOT BE TAKEN OVER THE TELEPHONE.  

                              HOUSE CHECK IS VALID FOR NO MORE THAN 30 DAYS FROM START DATE. 

HOUSE CHECK MUST BE FOR 3 DAYS OR LONGER.

HOUSES FOR SALE ARE NOT ELIGIBLE FOR HOUSE CHECKS.       

HOUSE CHECKS CANNOT BE TAKEN IF SOMEONE IS STAYING AT THE HOUSE.      

HOMEOWNER IS REQUESTED TO CALL THE DISPATCH CENTER WHEN THEY RETURN HOME.  

                                                                                 COPY OF POSITIVE ID ATTACHED ________________                                                                   

PLEASE PRINT:   

NAME____________________________________________________________________________

 ADDRESS________________________________________________________________________

PHONE NUMBER AT RESIDENCE _________________________________________________

 DATE LEAVING____________________   DATE RETURNING__________________________

 WHO SHOULD BE CALLED IN CASE OF EMERGENCY?______________________________

DESCRIPTION OF RESIDENCE________________________________________________________________

 WHO IS AUTHORIZED ON PROPERTY?       WHAT KIND OF CAR DO THEY DRIVE?

 _________________________________________________________________________________

 __________________________________________________________________________________

 ANY VEHICLES IN THE DRIVEWAY?______________________________________________________________________

__________________________________________________________________________________

 ANY VEHICLES IN THE GARAGE?________________________________________________________________________

 __________________________________________________________________________________

  LIGHTS ON TIMERS?  YES_____NO_____      

 LIGHTS ON ALL THE TIME? YES_____NO_____

 OUTSIDE LIGHTS? YES____NO____

 ANY PETS?____________________________________________________________________________

 IF HOUSE IS ALARMED, WHAT TYPE OF SYSTEM:

 HONEYWELL_____  ADT_____  CENTRA-LARM_____  OTHER_____  NO ALARM _______

 ALARM COMPANY PHONE NUMBER_______________________________________________

 NOTE:    IF YOUR HOUSE IS ALARMED, THE POLICE DEPARTMENT WILL BE RESPONDING TO ALL ALARMS AT YOUR RESIDENCE, WHILE YOU ARE AWAY. YOU MAY WISH TO CONSIDER GIVING YOUR CODE TO ANY CLEANERS OR CONTRACTORS WHO WILL BE AT YOUR RESIDENCE DURING YOUR ABSENCE.

 HOMEOWNERS SIGNATURE_____________________________________________DATE____________________

TO BE FILLED OUT BY THE POLICE DEPARTMENT:

 DATE AND TIME RECEIVED:_____________________________________________

 RECEIVED BY DISPATCHER _____________________________________________

 VP CARD TYPED BY _____________________________________________________

DATE TYPED _______________________________