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Home Security Check

If you are going to be away from your home for an extended period of time, you may request a Home Security Check. A Champlin Police Officer or a Reserve Officer will conduct periodic checks of your home and property while you're gone. If anything suspicious is observed, either you or the emergency contact listed on the Home Security Check form, will be notified.

To make a request, you can complete the below form. It will be sent directly to us. Residents can choose to receive a printable email copy to keep for record.

Home Security Check

First Name*
Last Name*
Phone Number*
Address*
Please include the Leaving Date and Return Date*
Please include the Leaving Date and Return Date Start Date
—
Please include the Leaving Date and Return Date End Date
Any Lights On?*
1. Yes
2. No
Are The Lights*
1. Constant
2. On A Timer
Area Of Home Lights Will Be On*
Alarm System*
Type N/A if none
Phone Number*
Type N/A if none
Cars In Driveway*
Keyholder Name*
Type N/A if none
Keyholder Phone Number*
Type N/A if none
Neighbor Watching Name and Address*
Type N/A if none
Neighbor Watching Phone Number*
Type N/A if none
Others With Access*
Type N/A if none
Emergency Contact*
Phone Number*
Additional Information

Leave This Blank:

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

This field is not part of the form submission.
Submit