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Residence Check Application

Erie County Sheriff's Office

2800 Columbus Ave.

Sandusky, Ohio 44870

Voice 419.625.7951 Fax 419.627.7547

 
 

 

The Erie County Sheriff’s Office is pleased to offer to the citizens of Erie County a residence check service for homes that are not alarmed with security systems. You can request a residence check one of three ways. 1) Call or stop in to our Records Bureau Monday through Friday, 8:00 a.m. to 4:00 p.m. at 419-625-7951, 2) fill out the convenient form on line and e-mail to the Sheriff’s office, or 3) print the form available on line and fax it to us at 419.627.7547.

RESIDENCE CHECK APPLICATION

 

***WE DO NOT CHECK HOMES THAT ARE ALARMED***

 

PLEASE PRINT LEGIBLY OR TYPE ALL REQUESTED INFORMATION

 

Date:
Homeowner's E-mail Address:  
Homeowner's Name:  

Address of Residence:

  
Township:    City:                                                  
Date and Time Leaving: Date:                                                        Time:                                                  AM PM
Date and Time Returning: Date:                                                        Time:                                                  AM PM

Phone

Number Where You May Be Reached:

  
Home Phone Number:   

Please list three (3) emergency contacts who can respond to the residence if we find a problem, and note whether or not they will have keys to the residence.

#1    Phone:   Keys? Yes No

#2    Phone:   Keys? Yes No

#3    Phone:   Keys? Yes No

If anyone will be checking the residence, feeding animals at the home, or cleaning the residence, please list their names below and what their purpose on the property will be.

#1    Purpose:  

#2    Purpose:  

#3    Purpose:  

Please list below any lights that will be left on, their location, and if on a timer the  hours that they will be in operation; and the description of any vehicles left on the property including license plate number.

 
I hereby give the Erie County Sheriff's Office Permission to check my property during my absence.
Signature of Homeowner:  

CALL US WHEN YOU RETURN TO CANCEL THE RESIDENCE CHECK

 

 

This form is also available in a printable download form. 

You will need Adobe Acrobat Reader v8 or higher to open the printable form.

 

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Last modified: April 18, 2008