EXTRA PATROL REQUEST
OFFICE OF THE SHERIFF
TOWNS COUNTY, GA
SHERIFF CHRIS CLINTON
1)
NAME:
ADDRESS:
2)
PHONE:
ALTERNATE PHONE:
3)
PREMISE TYPE:
4)
REASON FOR EXTRA PATROL:
RESIDENCE
BUSINESS
CONSTRUCTION
PROTECTED BY AN
ALARM SYSTEM:
6)
WILL LIGHTS BE
LEFT ON:
5)
YES
YES
NO
NO
IF UNATTENDED, WILL A KEY BE LEFT WITH ANYONE?
YES
NO
7)
IF YES, WHO?
ADDRESS:
PHONE:
ALTERNATE PHONE:
IN CASE OF AN EMERGENCY, WHO SHOULD BE NOTIFIED?
8)
9)
DATES REQUESTED FOR EXTRA PATROL:
FROM:
TO:
THIS REQUEST IS ONLY ACTIVE FOR 30 DAYS.  AN EXTENSION MUST BE
COMPLETED TO CONTINUE THIS EXTRA PATROL REQUEST.  PLEASE CLICK ON
THE SUBMIT BUTTON TO SUBMIT YOUR REQUEST.