Special House Check Request


If you would like to request a special house check on your property, please print this form and completely fill it.  Once the form is completed, please mail it to the Amherst Police Department atleast 5 days prior to your planned departure.  If mailing the form is an inconvenience, you can simply drop off your request at the station.

Date:__________________

Chief of Police
Amherst Police Department
PO Box 703
175 Amherst Street
Amherst, NH  03031

Dear Sir,

    I am requesting that the Amherst Police Department make periodic visits to my property and to enter my home and all buildings on my property while I am away during the period of:

Departure Date:________________   through the Return Date:________________

    A description and location of the property concerned is:________________________________

____________________________________________________________________________

____________________________________________________________________________

   Should the Amherst Police become aware of any violations of the law on my property, I request that they take whatever legal action they feel is necessary.

    Persons who have permission to enter the above mentioned property are:____________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Sincerely,

 

Property Owner                     Telephone #:_______________________