Departments

Violation Letter 5-27-2021

Use this form when you will be away from your residence and would like to request that the Police
Department do a “Close Patrol” of your residence. This information is provided to only our Police Department.

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REQUEST FOR CLOSE PATROL

Name *

First

Last

Address *

Address Line 1

City

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Zip Code

Phone *

Optional Secondary Phone *

Begin Date of Vacancy *

If unknown, please give your best estimate.

End Date of Vacancy *

If unknown, please give your best estimate.

Emergency Contact Information

• Emergency Contact #1
• Emergency Contact #2

Name & Telephone Number Contact #1 *

Name & Telephone Number Contact #2 *

Lights Left On? *

• Yes
• No

Pets, If left at Home *

• Dog (s)
• Cat (s)
• Other
• None

Vehicle's Left at House?

• Vehicle #1
• Vehicle #2

Year, Make, Color, LP #

Year, Make, Color, LP #

Keys Left With? Please add information. *

• I have not left keys with any one
• I left keys with….

Their Name, Address & Telephone Number *

Maintenance? Yard

Will Anyone be Visiting your house while you are gone? Family? Friends? *

• Yes
• No

Their Name & Vehicle Description

Will Anyone be doing any work at your house while you are gone? Yard Workers? Maintenance? Maids? *

• Yes
• No

Their Name/Company Name & Vehicle Description *

Any additional Information you would like us to know?

NOTE: *

• The police will document all checks, and this information can be requested upon your return from the police department.

Please complete the *

What does 2+2 = ? Please place your answer below

Submit

Download and Print a Close Patrol Form

This form can be emailed back to policechief@sunrisebeachtx.gov or returned to City Hall.