House Check Request


If you would like the Kohler Police Department to check your house while you are away, fill out the form below and then click on the submit button at the bottom to send it to the Kohler Police Department. 

If you are making this request on a Friday after 4:00 p.m. and want your house check to start over the weekend, please contact our department by telephone at (920) 459-3877 instead of filling out this form.

All fields in yellow are required fields.

 

First Name:
Middle Initial:
Last Name:
Date of Birth: (Month/Day/Year)
Address:
Telephone Number:
E-mail address:
   
Date Leaving:
Date Returning:
   
Key Holder Name:                     No Key Holder:
Key Holder Telephone Number:
If No Key Holder, Emergency Contact Number:
   
Alarm Activated: Yes      No
Lights on Timers: Yes      No        Where:
Pets on Property: Yes      No        If yes, what type of animal:
   
Comments:

Is there anything else you think we should know? If so, please describe.
   
Once completed, click on "submit" button below.

(Reminder:  Fields in yellow are required fields.)

  

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