SPECIAL PATROL REQUEST

(FOR RESIDENTS LEAVING THE COUNTY)

These requests are limited to a maximum of thirty days. Contact the Sheriff's Office if you need to have your request extended after 30 days. If you have the need for a directed patrol for reasons other than going out of town such as criminal activity, please contact the Sheriff's Office at (863) 773-4144.


Homeowners Name :


What is your email address :


Homeowners contact number during the Extra Patrol :


What is the address of the Extra Patrol :


Dates the Extra Patrol is Needed:
FROM: To:
 

Your Destination Address :


Authorized Persons or vehicles that may be at location:


During the time of this Extra Patrol, is there a key holder we can contact in case of an emergency at your residence? :
Name

Phone

Will there be a dog on the premises? :
Yes or No

Do you have an alarm? :
Yes or No

Alarm Company and Phone Number :


Lights to be left on:
Yes or No

Any special information you think we need: