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BOYNTON BEACH POLICE DEPARTMENT
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ABOUT US
CRIME PREVENTION
PUBLIC RECORDS
FAQ
NEWS
SUBMIT A TIP
REQUEST AN EXTRA PATROL
Name
*
Reason for Extra Patrol
*
Location of Extra Patrol
*
Street Address
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Armed Forces Americas
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State
ZIP Code
Email Address
*
Phone number
*
Date Departing
*
Date Format: MM slash DD slash YYYY
Date Returning
*
Date Format: MM slash DD slash YYYY
Time Departing
:
HH
MM
AM
PM
Time Returning
:
HH
MM
AM
PM
Emergency Contact Name
*
Emergency Contact Phone Number
*
Do you have an alarm system?
*
Yes
No
Is your alarm monitored?
*
Yes
No
Do you have someone coming to check on your home while you are away?
*
Yes
No
Is anyone allowed inside of your home during your absence?
*
Yes
No
Name of Person
*
Comments
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