2. Security Check Request (Out of Town)

   Complete form, print and provide to Police Dispatch. Universal City Police Department, 2150 Universal City Blvd, Universal City, TX 78148

4. Date of Request*
   Date of Request
5. Security Check Date(s):*
   Security Check Date(s): Start Date

   Security Check Date(s): Start Time

   —

   Security Check Date(s): End Date

   Security Check Date(s): End Time
6. Type Premises*
   -- Select One --ResidenceBusiness
7. Premise will be*
   -- Select One --VacantOccupied
9. Name:*
10. Address (Universal City, TX 78148)*
11. Phone *
13. In Case of an Emergency, Contact:*
14. Keys left with:
16. Access to premises (Relatives, Workers, Neighbors, Employees)
17. Lights On*
    -- Select One --NoConstantAutomatic
19. Pets - Type, inside/outside, do they bite?
20. Description of Authorized Vehicle(s) to include in garage
22. SIGNATURE:
24. 
    
Leave This Blank:


25. Print Only

* indicates a required field