Residence Check Request Edit Form Please provide the following information at least 72 hours before the service is needed. The Randleman Police Department offers this service to the citizens of Randleman, NC on a limited basis. Our patrol officers will check on your residence up to two times per day, when possible and circumstance allow, while you are on vacation. Any crime or property damage that may occur during your absence can not and will not be the responsibility of this department or city. Reason for request?* Address of residence to be checked?* Person requesting residence check?* Primary phone number* Alternate phone number* Email address* Date of departure* Date of return* Time of return* Permission granted to enter back yard?* Yes No Is there a risk of officer/pet encounter at this residence?* Yes No Will lights be left on in the residence? (Recommended)* Yes No Timer Is a friend or neighbor picking up your newspaper and/or mail? (Recommended)* Yes No Agreement* I agree to not hold the Randleman Police Department or the City of Randleman responsible for any damage to or loss of property that may occur during my absence.