Moorhead Police

Residential Check Form


Name:
Address:
Phone:
If you would like a confirmation email stating that your request has been recieved please leave an email address here:
Who holds a key to your home?
Their address:
Their phone number:
Will there be someone checking on your home while you are absent?
If so, give name, address and phone number where they can be reached:
Did you stop your newspaper?
Did you stop your mail?
Are there going to be any lights on in the house?
If yes, where?
Are these lights on automatic timers?
If yes, when do they turn on and off?
Are there going to be any vehicles parked in the driveway?
If yes, how many and give a description:
Who can we contact in case of an emergency involving your home?
Name:
Phone:
When are you leaving?
When are you returning?
Will someone be mowing lawn/blowing snow?
If yes, person's name:
Phone:

Home | Contact Us | City of Moorhead | 915 9th Avenue North, Moorhead, MN 56560 | 218-299-5121