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Golden Police Department

PDRecords@cityofgolden.net

911 10th Street, Golden, CO

303-384-8045

Vacation Watch / Extra Patrol Request

Golden Police Department

Start Date:

Date Picker

End Date:

Date Picker

Location:

Property Type:

Requested by Full Name:

Can you be reached at this number while you are away?

Requested by Address (if different):

Name of person staying at the residence:

LOCAL EMERGENCY CONTACT INFORMATION

Full Name

Are they a Keyholder?

Emergency Contact Address

Is there an alarm system?

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FC Revised 05/19