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Request for Security Check: Residence or Business

  1. Please complete the online form below to submit your request.
  2. Contact Information
  3. Type of Premises*
    If "other," please describe the property in the space below.
  4. Have you left a key with anyone?*
  5. If yes, please provide their information below.
  6. Other Persons who will have access or be working about the premises (neighbors, relatives, workers).
  7. I request the above security check and will notify the Police Department Business Office at 660-747-9133 upon my return.
  8. Please type your first and last name.
  9. Leave This Blank:

  10. This field is not part of the form submission.