Porterville Police Department Extra Patrol Request Form

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This form is to be used to request extra patrol service by The Porterville Police Department. Please enter all applicable information. Items in red are required. When you have completed the form, click the "Submit" button at the bottom of the section to send this form to our dispatcher. All information supplied is subject to verification.

If you are reporting Criminal or Suspicious Activity, please include an address or approximate location of the activity in the Description/Explanation box.

Request Date/Time:

If you would prefer to fill out the form and deliver it manually, click here for a printable blank form.

SECTION ONE

Reason for this request (Check one)	Vacation Checks (Go to SECTION TWO) Criminal Activity in Area (Describe in box below) Suspicious Activity in Area (Describe in box below) Other (Explain in box below)
Description/Explanation (Except Vacation Checks)
Your Name	(Optional)
Your Phone Number	(Optional)
Your E-mail Address	(Optional)
SECTION TWO (Vacation Checks only)
Your Name
Your Address (Location Address for Extra Patrol)
Your Phone Number
Your Email Address
Dates & Times you will be away
24 hour phone number where you can be reached while you are away
Name/phone number of person with key and/or alarm code
List/describe your vehicle(s) that will be left outside at the location (Ex: My red ford pickup is in the driveway; Lic 5XYS123)
List name/relationship/vehicle description of each person given permission by you to be in/at the location while you are away. (Ex: Fred Jones; gardener; green truck)
Please check all boxes that apply. This location is a Residence. This location is a Business. I have an alarm system installed and operating properly. There will be a dog(s) left outside the residence/business during my absence. There will be lights left on inside the residence/business during my absence. There be a vehicle(s) left outside the residence/business during my absence. I have notified my newspaper carrier to hold delivery during my absence I have notified the post office to hold my mail during my absence. There will be animal(s) left inside the residence/business during my absence.