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Extra Patrol/Vacation Watch Form

  1. The Byrnes Mill Police Department Extra Patrol/Vacation Watch Form will help us to provide extra patrol to the area of your business/residence in your absence. Please note that the Byrnes Mill Police Department is not responsible for the safety of your home, offering this service as a courtesy and cannot guarantee availability of officers. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (636) 677-7727 fax (636) 677-5533.

  2. Byrnes Mill Police Department

    141 Osage Executive Circle

    Byrnes Mill, MO 63051

  3. Reason for extra patrol:*

  4. Type of premises:*

  5. Protected by alarm system:*

  6. Lights left on:*

  7. Keys left with anyone:*

  8. Are there any cars in the driveway or garage?*

  9. In case of emergency, do you wish to be notified by collect call?*

  10. Include name, address and phone number

  11. By filling your name in the space above, you acknowledge that this form was submitted to the Byrnes Mill Police Department.

  12. Date form was submitted

  13. Leave This Blank:

  14. This field is not part of the form submission.