Union, OH · Montgomery County

No notary required

Police Security Check Form

Residents use this form to share home, contact, and security details with the police for a security check during an absence.

What this form is

The Police Security Check Form records an address, dates, reason for the check, property details, and contact information for people with access. It includes options for vacation, vacant-property, and other checks, along with details about lights, alarms, pets, and vehicles. The form instructs users to provide it to the appropriate agency and notify dispatch when they return home.

Who needs it

Residents requesting a police security check for a home while away or vacant can provide the requested property and contact details on this form.

How to submit it

Fill out the address on the back, copy the front and place the copy in dispatch, then give the original to the appropriate agency. Notify dispatch when you return home.

About notarization

This form has no notary block or sworn attachment; the form text does not specify a signature or date.

How to submit this form

  1. 1

    Download the Form

    Download the Police Security Check Form PDF.

  2. 2

    Complete the Form

    Provide the address, dates, reason for the check, property details, and contact information requested.

  3. 3

    Make a Copy

    Fill out the address on the back and copy the front of the form.

  4. 4

    Give the Form to the Agency

    Place the copy in dispatch and give the original to the appropriate agency. Notify dispatch when you return home.

Frequently asked questions

What is the Police Security Check Form for?
It records property, security, and contact details for a police security check, including whether the home is vacant or the resident is on vacation.
How do I submit the Police Security Check Form?
Fill out the address on the back, copy the front and place it in dispatch, and give the original to the appropriate agency. Notify dispatch when you return home.
Do I need a notary for the Police Security Check Form?
No. The form has no notary block or sworn attachment, and its text does not specify a signature or date.

Need something notarized?

This Police Security Check Form doesn’t need a notary — but if you have another Union form that does, a commissioned online notary can help.