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Leland Police Department
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"While You Are Away"
"While You Are Away" is a housing check provided to residents while they are on vacation.
Use the form below to send us a e-mail
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Name:
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Address:
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Address Line 2:
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City:
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State:
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Zip Code:
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Phone:
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Email:
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Date/Time of Departure:
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Date/Time of Return:
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Will a vehicle be left at residents?
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Yes No |
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License & Description:
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Will Lights be lift on?
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Yes No |
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If Yes, Which Rooms?
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| In case of emergency, Please Contact: |
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Primary Contact Name:
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Primary Contact Address:
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Primary Contact Address line 2:
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Primary City:
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Primary State:
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Primary Zip Code:
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Primary Contact Phone:
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Secondary Contact Name:
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Secondary Contact Address:
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Secondary Contact Address line 2:
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Secondary City:
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Secondary State:
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Secondary Zip Code:
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Secondary Contact Phone:
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Additional Information:
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