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4. Use this form to alert the Monticello Police Department if you will be traveling out of town for an extended amount of time. The Monticello Police Department will monitor your residence while on regular patrol for suspicious activity during this time. Reported location must be within the City of Monticello boundaries. The exact reported location/site address is required.

   Please note: The name of person submitting this information and content of this form are subject to public release under the Freedom of Information Act.

8. Contact Information of Individual Submitting Request
10. First Name*
11. Last Name*
13. Phone Number You Can Be Reached At While Out of Town*
14. Email Address
16. Address of Individual Making Request*
18. During What Time Period Will You Be Out of Town?
    During What Time Period Will You Be Out of Town? Start Date

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    During What Time Period Will You Be Out of Town? End Date
20. Will Anyone Be Visiting Your Home While You Are Away? If so, please provide their names, and phone numbers in case police need entry into the house.*
    Caretaker for plants, pets, getting mail, etc.
22. Are There Any Special Details the Police Officers Should Know?
    Lights on timer, extra car in driveway, etc.
24. Please note: This request does not ensure police monitoring of your residence on a regular basis; The intent of this program is to provide the police officers patroling your neighborhood with the necessary information to look for suspicious activity at your residence while you are away.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field