Request for Security Check

2. The Seabrook Police Department offers Vacation Security Checks to all Seabrook residents. While you are away on vacation, officers from the Seabrook Police Department will periodically stop by your home or business to check for open doors, broken windows or any other suspicious circumstances. The is another added security precaution you can utilize to safeguard your possessions and assure your peace of mind while you are on vacation. This a free, but invaluable service provided by the Seabrook Police Department to the citizens of Seabrook.
   
   Please fill in the form below to request a vacation check. Residents and businesses realize that the Seabrook Police Department and the City of Seabrook do not assume any liability for loss or damage to the property during specified dates.
4. First Name*
5. Last Name*
7. Phone*
   Number we can contact you at while away
8. Email Address*
10. Vacation Check Address*
12. City*
13. State*
14. Zip*
16. Departure Date/Time*
    Departure Date/Time

    Departure Date/Time
17. Return Date/Time*
    Return Date/Time

    Return Date/Time
19. Type of Premise*
    -- Select One --ResidenceBusinessOther
20. If Other please specify
22. Have the keys been left with someone?*

    1. Yes
    2. No
23. If Yes, Name(s):
25. Will anyone be working about or have access to the premises during your absence?*

    1. Yes
    2. No
26. If Yes, Name(s):
28. Phone Charges*

    Do you agree to accept any phone charges that may be incurred by contacting the phone number listed above?

    1. Yes
    2. No
30. Signature*
    By entering your initials or your name you are agreeing to submit the information above to the Seabrook Police Department.
31. Today's Date*
    Today's Date
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field