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> GOVERNING DOCS
> ARTICLES
> COVENANTS
> SUPPLEMENTAL COVENANTS
> BYLAWS
> ARC STANDARDS
> POLICIES AND PROCEDURES
> ANIMAL CONTROL
> CLUBHOUSE RULES
> GUEST POLICY
> EXTRA PATROL REQUEST








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VACATION/EXTRA PATROL CHECK REQUEST
SERVICE REQUESTED:
FILING ______LOT______
Vacation or Extra Patrol
_________________________________________________________
PERSON REQUESTING:
Address:
Phone:
(First and Last Name Please)
_________________________________________________________
________________________________________________________
Do you want a copy mailed to you upon return? Y N
_______________________________________________________
_______________________________________________________
Contact Person:
Phone:
Residence:
____________________________________________________
Business:
____________________________________________________
________________________________________________________
Date/Time of request:
Date to Start:
vDate to Finish:
PLEASE NOTIFY PATROL WHEN YOU RETURN.
INDICATE ANY AUTHORIZED VEHICLES:
Vehicle Year: Make: Model: Colors: Plate Number: Location:
________________________________________________________
_______________________________________________________
________________________________________________________
Please note: The Genesee Foundation and the Jefferson County Sheriff’s Office is not responsible for any damage to your home or property that may or may not have been noticed or reported during routine house checks conducted by Jefferson County Sheriff’s Office as part of their contract with The Genesee Foundation.
VACATION CHECK INFORMATION
PET(S)
TYPE:
____________________________________________________
ARRANGEMENTS FOR CARE: ____Yes____No
LIGHTS:
__________________________________________________
MAIL:
___________________________________________________
PAPER:
__________________________________________________
OTHER DELIVERIES:
__________________________________________________
ALARM:
__________________________________________________
CLEANING/MAINTENANCE:
___________________________________________________
TELEPHONE NUMBER WHERE YOU CAN BE REACHED IN CASE OF EMERGENCY:
__________________________________________________
__________________________________________________
CONTINUATIONS, EXPLANATIONS, OR NARRATIVE:
___________________________________________________
__________________________________________________
__________________________________________________
SIGNATURE OF RESIDENT:
____________________________________________________
SECURITY USE ONLY: Field Activity Log – Reference reported problem requested service
START DATE/TIME: FINISH: OFFICER: REMARKS/EXPLANATION:
________________________________________________________________
ON: @ @
___________________________________________
ON: @ @
______________________________________________
ON: @ @
_______________________________________________
ON: @ @
_______________________________________________
ON: @ @
______________________________________________
ON: @ @
_______________________________________________
ON: @ @
_______________________________________________
ON: @ @
_________________________________________________
ON: @ @
_________________________________________________
ON: @ @
____________________________________________________
ON: @ @
________________________________________________________
SUBMITTING OFFICER: DIST/BEAT:
Activity log continued on new page? ___ Yes ___ No
Submitting Officer Signature & Unit
___________________________________________________
Approving Supervisor/Date & Time Reviewed
_______________________________________________
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PAGE LAST UPDATED: FEBRUARY 2, 2004