Schedule a House/Property Check

ATTENTION: If you require assistance filling out this form please contact the LaSalle Police Department at (519) 969-5210 ext 300 or TSeguin@lasallepolice.ca

Surname *

Given Name *

Date Of Birth *

Email *

Preferred Phone *

Alternate Phone

From *

To *

Address *

Key Holder *

Key Holders Phone *

Alarm *

Vehicle in Driveway *

Lights *

Timers *

Reason for Property Check and Additional Notes *

Captcha *

Submit