Granite Quarry-Faith Joint Police Authority
Residence Security Check Request

    IMPORTANT!
    The following steps MUST be completed in order for this Residence Security Check request to be received by the Police Department:

    1. Fill out the information on this form. Please print clearly.

    2. Please bring the form to the Police Department at 143 N. Salisbury Ave.
       (U.S. Hwy 52). or call (704) 279-5596 and an officer will be happy to come by
       to pick up the form.

    Please call (704) 279-5596 if you have any questions about this form. 

Home Owner’s Name:

Address to be checked:

Date(s) of security checks:

Will there be an active alarm system?

If alarm system is monitored which monitoring company?

Name/number of contact person:

Keys left with anyone?
Name of person(s):

In case of an emergency do you wish to be contacted?

Name and number to call:

Other contact:

Additional infomation:

Form version: September 2008