Residents of Murray City may use this form to notify the Police Department when they will be out of town. Murray Police can then make an extra effort to provide protection to those requesting this service.

NOTE: You must be a resident of Murray City to receive this service. Please submit this request at least 48 hours before the first day of your departure. If your property check starts earlier, please call in your request at (801)264-2673 Monday-Friday between 8:00 a.m. - 5:00 p.m.

First and Last Name: *

Address: *

Home Phone: *

Email Address:

Departure Date: *

Date of Return: *

In case of an emergency, how do we contact you?*

List information for a local contact in case we can not reach you. (family members, friends or neighbors)

First and Last Name: *

Address: *

Phone Number: *

Please list the names and relationships of any persons that are authorized to be at your home during your vacation.

List any automobiles that are authorized to be at your home. Please list make, model, color and license plate number if possible.