Katy Police Department
5456 Franz Rd.
Katy, TX 77493
Tel. 281-391-4848 Fax. 281-391-4873
~ Resident/Business Security Check Request ~
CITY OF KATY RESIDENTS/BUSINESSES ONLY
PLEASE WRITE OR PRINT CLEARLY AND CHECK YOUR INFORMATION CAREFULLY
Request Made By: __________________________________ Phone: ______________________
Reason for Extra Patrol: ____ Premise will be vacant Other: _________________________
i.e. Medical, Vandalism etc
Type of Premise: Business ___ Residence ___ Other: ___________________________
Protected by Alarm System? Yes ___ No ___
If Yes Comp. Name ______________________________ / Comp. Phone No: _________________
Lights on? Yes ___ No ___ Constant? Yes ___ No ___ Automatic? Yes ___ No ___
Keys left with anyone? Yes ___ No ___
If yes, Name:___________________ Address:_______________________ Phone:____________
Vehicles on premises? __________________ Description: _______________________________
Other persons that will have access to premises (Relatives, Workers, Neighbors, Employee)
C/O Name: _____________________ Address: _______________________ Ph: ______________
I request that a security check be made of my premises from ___________ to______________
and will notify you upon my return. MM/DD/YY MM/DD/YY
REQUEST EXPIRES IN 90 DAYS UNLESS THE POLICE DEPARTMENT IS CONTACTED!
Signed: ____________________________________ Date of Request: ______________________
PLEASE … CONTACT KATY POLICE DEPARTMENT UPON YOUR RETURN!