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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. Will there any cars in the driveway or garage?*
  9. Name and phone number of person(s) who should be notified.
  10. Include name, address and phone number
  11. If there is any additional information you wish to inform the officers about please list it here.
  12. By filling your name in the space above, you acknowledge that this form was submitted to the Byrnes Mill Police Department.
  13. Date form was submitted
  14. Leave This Blank:

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