2. Going on vacation or leaving town for a few days? The Goddard Police Department will conduct extra patrols of your home while your gone.
   
   Please complete the form and we will forward it to our patrol officers. We recommend you leave an outside light on and stop the delivery of your paper if you will be gone for a long period of time or make arrangements for a neighbor to collect your papers while you're away. Inside lighting set on timers is also recommended.
4. Disclaimer
   The City of Goddard and Goddard Police Department make no guarantees that your home will not be vandalized and/or burglarized while you are away. We will make every effort however to make regular checks of your home as time and call load permit.
6. Your Name*
8. Street Address*
10. Home Phone*
11. Email
13. Alarm Company
14. Alarm Company Phone Number
16. Date Leaving and Returning*
    Date Leaving and Returning Start Date

    Date Leaving and Returning Start Time

    —

    Date Leaving and Returning End Date

    Date Leaving and Returning End Time
18. Person to Contact in Event of Emergency
19. Emergency Phone Number
21. Please list the names of persons who will be checking your residence while you're away.
23. Please list any vehicles that will be left parked at your address
25. Make
26. Model
28. Color
29. Year
30. Tag
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field