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Request for Security Check

  1. Type of Premises

  2. Have keys or alarm code been left with anyone?

  3. Will the lights be left on?

  4. If yes, constant or timer?

  5. Will vehicles be left on the premises?

  6. Are any windows broken, screens torn, etc.?

  7. Will animals be left on premises?

  8. Is your home protected by an alarm system?

  9. Leave This Blank: