Extra Patrol Request

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English

Kiowa Police Department

Extra Patrol Request

Please feel free to use this form to request extra patrol from the police department. The form will submit directly to the police officers please update form as changes are needed.

Name

Address

Phone

Email

Emergency contact person Name / Phone

Please describe what type of patrol is needed

Does anyone have permission to be on property ?

If YES, who Name / Phone

Lights on ? Where ?

Date Leaving

MM

/

DD

/

YYYY

Date Returning

MM

/

DD

/

YYYY

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