House Check Request (Online Form)

The Medford Township Police is pleased to offer a house check service to the residents of Medford. Residents who are going out of town on vacation or for any other reason are encouraged to submit the House Check Request Form to the police department. The form outlines details which may needed by the police department to contact you while you are out of town. Most importantly, when this service is requested, an officer will periodically check the exterior of the property to assist in safeguarding your residence.

Name

First Name

Last Name

Street Address of Property to be checked

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number

(###)

###

####

Cell Phone Number

(###)

###

####

Date Departing

YYYY

Approximate Time Departing

Hour

Minute

Second

Date Returning

YYYY

Approximate Time Returning

Hour

Minute

Second

List the location of any lights left on or set on timers.

Provide a description of any vehicles left in the driveway.

List the names and phone #’s of anyone locally that has a key to the residence.

If residence has alarm system, list the name & phone # of someone who can respond to reset the alarm.

Are any firearms stored in the residence?

Yes

If so provide location & description.

List the names and phone #’s of additional emergency contacts.

Will anyone be at the residence during your absence?

Yes

If yes, please provide their names, phone numbers, and vehicles they may be operating.

Additional remarks:

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Printable Online House Check form

Printable House Check Form

The House Check Request Form can be emailed to housechecks@medfordpolice.org or faxed to (609) 953-3844, ATTN: Joanne-Records. The information can also be phoned in to the Records Office at (609) 654-7511 x165.

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Contact Medford police

Emergency: 9-1-1
Police Dispatch: (609) 267-8300
Police Administration Building: (609) 654-7511

Confidential Tip Line: (609) 714-0302
Police Records: (609) 654-5833
Police Records Fax: (609) 953-3844
Criminal Investigative Bureau: (609) 654-7375

Compliments and Concerns can be emailed to info@medfordpolice.org.