Coulee Dam, WA · Okanogan County
Request for Home Security Check
This form lets Coulee Dam residents or businesses request a police security check of their premises while they are away.
What this form is
Use this request to ask the Coulee Dam Police Department to check a residence, business, or other premises during an absence. It asks for the requester’s name and phone number, the physical address, departure and return dates, premises type, key arrangements, submission date, and signature; police staff record check details on the form.
Who needs it
A person responsible for a residence, business, or other premises can use this form to request a security check while away.
How to submit it
The form names the Coulee Dam Police Department at 300 Lincoln Avenue, Coulee Dam, WA 99116, and lists a phone number and fax number. It does not specify a submission method.
About notarization
This request is signed and dated without a notary; the form asks for a signature and submission date and states no sworn or notarized attachment or related step.
How to submit this form
- 1
Download The Request
Download the Request for Home Security Check PDF.
- 2
Complete The Request
Enter your contact details, premises information, departure and return dates, and key arrangements.
- 3
Sign And Date
Add the date submitted and sign the request; the form accepts a typed or printed name as an electronic signature.
- 4
Contact The Police Department
The form names the Coulee Dam Police Department and gives its address, phone number, and fax number; it does not state a submission method.
Frequently asked questions
- Do I need a notary for the Request for Home Security Check?
- No. The request asks for a signature and date, not notarization. It does not state that any attachment or related step must be sworn or notarized.
- Who can use this home security check request?
- A person responsible for a residence, business, or other premises can fill it out to request a police check while away.
- What information does the request ask for?
- It asks for contact information, the premises address and type, departure and return dates, key arrangements, the submission date, and a signature.
- How do I submit the request?
- The form names the Coulee Dam Police Department at 300 Lincoln Avenue, Coulee Dam, WA 99116. It lists phone and fax numbers but does not specify how to submit the request.