Strafford Police House/Property Check Form

Home/Property Owner Information
Name:
Address:
Home Phone Number:
Cell Phone Number:
Date Leaving:
Date Returning:

Emergency Contact Information
Name:
Phone:

Driveway plowed during the winter months:

Yes

Lights On:

Yes

Timer

If you chose the "yes" or "timer" button please provide a brief description of where the lights will be left on, on the property:

Alarm System:

Yes

Please describe any vehicle left on the property:

Other Information: