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2. Winter Security Check Request / Authorization
4. Security Check Date Range*
   Security Check Date Range Start Date

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   Security Check Date Range End Date
   Select the date range you would like security checks.
6. Property Owner Name(s)*
8. Property Location/Address*
10. Property Location City*
11. Property Location State*
13. Winter Contact Address*
15. Winter Contact City*
16. Winter Contact State*
17. Winter Contact Zip*
19. Winter Phone #*
20. Cell Phone #*
21. Other Phone #
23. Comments
    Our practice is to put a notice of the security check on your property, usually on a doorknob. If you do not want us to leave a notice or if you have a certain location you would like us to leave the notice, please specify in the comments.
25. Authorization
    By submitting this form, I authorize the Daggett County Sheriff’s Office to inspect the exterior of my home during the winter months and notify me at the number above if they discover any problems.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field