Extra Patrol Request Form
For Flint Township Residents Only

Please complete the form below to request additional police patrol.  You must provide a detailed explanation for the request,  If you need to modify your request call (810) 600-3250.
You will receive a confirmation e-mail upon approval.

LOCATION TYPE  * 
Residential 
Commercial
Area

EXTRA PATROL REQUESTED BY:
Full Name: *

Phone:

Mobile Phone: *

E-mail:  *

WATCH DATES / TIMES
Please limit requests to no more than 30 days

Start Date: *		Start Time: *
End Date: *		End Time: *

LOCATION TO BE PATROLLED
Business / Organization Name  (if applicable)
Address or Cross Streets: *
Apartment / Suite (if applicable)

City: *

State: *

Zip: *

REASON FOR THE REQUEST

Category:
House Under Construction
Suspicious Person(s)
Suspicious Vehicle(s)
Traffic Issue
Vacant Home
Other

Detailed Explanation / Justification: *