OVERNIGHT PARKING ENTRY

DETAILS:

PLATE#:

Reason:

MAKE:

MODEL:

VEHICLE COLOR:

STATE:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

CITY:

STATE:

ZIP CODE:

START DATE:

END DATE:

Please enter the Actual Calendar Date you wish to park on the street.

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FIRST NAME:

LAST NAME:

PHONE #:

Email:

NOTES :

Add More Vehicles To This Entry

PLATE#:

MAKE:

MODEL:

VEHICLE COLOR:

PLATE#:

MAKE:

MODEL:

VEHICLE COLOR:

PLATE#:

MAKE:

MODEL:

VEHICLE COLOR:

PLATE#:

MAKE:

MODEL:

VEHICLE COLOR:

Add New

Parking Snow Ban

Due to current weather conditions, we are not accepting vehicles to be entered into our overnight parking database.

Please check back soon to submit your vehicle for future dates.

OVERNIGHT PARKING

All Overnight Parking Request Must be Entered Before MIDNIGHT on the day of the Request.

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VACATION WATCH ENTRY

CONTACT INFO:

EMAIL:

First Name:

Last Name:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

CITY:

STATE:

ZIP CODE:

PHONE #:

DETAILS:

START DATE:

END DATE:

DEPARTURE TIME:

RETURN TIME:

ALARM SYSTEM:

PET ON PREMISE:

PERSON VISITING:

LIGHTS ON:

EMERGENCY CONTACT:

EMERGENCY PHONE:

EMERGENCY EMAIL:

Comments:

VACATION WATCH

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CONDITION REPORT ENTRY

DETAILS:

CREATE DATE:

TYPE:

LOCATION:

DESCRIPTION:

CITIZEN REPORTING

INCIDENT DATE: *

INCIDENT TIME: *

INCIDENT TYPE: *

INCIDENT LOCATION:

ADDRESS/LOCATION: *

CITY: *

STATE: *

ZIP CODE: *

PERSONAL CONTACT INFO:

FIRST NAME: *

LAST NAME: *

DOB: *

SEX:

RACE:

ADDRESS #: *

DIRECTION:

STREET NAME: *

SUITE/UNIT:

CITY: *

STATE: *

ZIP CODE: *

TELEPHONE: *

EMAIL: *

CONFIRM EMAIL: *

INCIDENT INVOLVES A VEHICLE:

PLATE NO:

MAKE:

MODEL:

YEAR:

COLOR:

BODY STYLE:

STATE:

VIN:

INCIDENT INVOLVES PROPERTY:

PROPERTY DESCRIPTION:(Describe the details of the property involved)

Report Narrative : *

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CITIZEN REPORTING

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BIKE MANAGEMENT ENTRY

CONTACT INFO:

EMAIL:

Registration Year:

First Name:

Last Name:

ADDRESS:

ADDRESS #:

DIRECTION:

SUITE/UNIT:

STREET NAME:

CITY:

STATE:

ZIP CODE:

HOME PHONE #:

CELL PHONE #:

DETAILS:

CITY LICENSE #:

BIKE SERIAL #:

BIKE MAKE:

BIKE MODEL:

BIKE COLOR:

FRAME SIZE:

FRAME TYPE:

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Image File Types Accepted: .jpg, .gif, .png, .tif. Attachment should not exceed 10MB

PET MANAGEMENT ENTRY

CONTACT INFO:

EMAIL:

FIRST NAME:

LAST NAME:

ADDRESS:

ADDRESS #:

DIRECTION:

SUITE/UNIT:

STREET NAME:

CITY:

STATE:

ZIP CODE:

HOME PHONE #:

CELL PHONE #:

DETAILS:

PET LICENSE #:

RABIES TAG #:

MICRO CHIP #:

ANIMAL TYPE:

BREED:

ANIMAL COLOR:

ANIMAL SEX:

ANIMAL NAME:

SPAYED / NEUTERED:

COLLAR DESCRIPTION:

Pet Status:

Lost Found/Impound

NOTES :

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KEY HOLDER ENTRY

COMPANY INFO:

BUSINESS NAME:

BUSINESS EMAIL:

BUSINESS PHONE#:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

City:

State:

ZIP CODE:

KEY HOLDER INFO:

NAME (KEY HOLDER 1):

TITLE:

HOME PHONE # (KEY HOLDER 1):

CELL PHONE # (KEY HOLDER 1):

EMAIL (KEY HOLDER 1):

NAME (KEY HOLDER 2):

TITLE:

HOME PHONE # (KEY HOLDER 2):

CELL PHONE # (KEY HOLDER 2):

EMAIL (KEY HOLDER 2):

NAME (KEY HOLDER 3):

TITLE:

HOME PHONE # (KEY HOLDER 3):

CELL PHONE # (KEY HOLDER 3):

EMAIL (KEY HOLDER 3):

ALARM INFO:

ALARM COMPANY:

ALARM#:

ALARM COMPANY PHONE #:

ALARM PANEL LOCATION:

KNOX BOX LOCATION:

COMMENTS :

ADD NEW

Key Holder Entry:

Please select the key holder entry screen that best fits your location.

KEY HOLDER ENTRY

Residence Info:

Residence has surveillance cameras

RESIDENCE NAME:

RESIDENCE EMAIL:

RESIDENCE PHONE#:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

City:

State:

ZIP CODE:

KEY HOLDER INFO:

NAME (KEY HOLDER 1):

HOME PHONE # (KEY HOLDER 1):

CELL PHONE # (KEY HOLDER 1):

EMAIL (KEY HOLDER 1):

NAME (KEY HOLDER 2):

HOME PHONE # (KEY HOLDER 2):

CELL PHONE # (KEY HOLDER 2):

EMAIL (KEY HOLDER 2):

NAME (KEY HOLDER 3):

HOME PHONE # (KEY HOLDER 3):

CELL PHONE # (KEY HOLDER 3):

EMAIL (KEY HOLDER 3):

ALARM INFO:

ALARM COMPANY:

ALARM #:

ALARM COMPANY PHONE #:

Comments:

Submit

AT-RISK RESIDENTS ENTRY

PERSONAL CONTACT INFO:

FIRST NAME:

LAST NAME:

DOB:

NICK NAME:

ADDRESS #:

DIRECTION:

STREET NAME:

SUITE/UNIT:

City:

State:

ZIP CODE:

ID #:

IDENTIFYING SCARS, MARKS, TATTOOS:

BEST METHOD OF COMMUNICATION:

Sex:

Race:

HOME PHONE:

CELL PHONE:

HEIGHT:

WEIGHT:

HAIR COLOR:

EYE COLOR:

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EMERGENCY CONTACTS:

NAME (EMERGENCY CONTACT 1):

HOME PHONE # (EMERGENCY CONTACT 1):

CELL PHONE # (EMERGENCY CONTACT 1):

EMAIL (EMERGENCY CONTACT 1):

RELATIONSHIP (EMERGENCY CONTACT 1):

NAME (EMERGENCY CONTACT 2):

HOME PHONE # (EMERGENCY CONTACT 2):

CELL PHONE # (EMERGENCY CONTACT 2):

EMAIL (EMERGENCY CONTACT 2):

RELATIONSHIP (EMERGENCY CONTACT 2):

NAME (EMERGENCY CONTACT 3):

HOME PHONE # (EMERGENCY CONTACT 3):

CELL PHONE # (EMERGENCY CONTACT 3):

EMAIL (EMERGENCY CONTACT 3):

RELATIONSHIP (EMERGENCY CONTACT 3):

MEDICAL CONTACT INFORMATION:

DOCTOR'S NAME:

DOCTOR'S PHONE #:

MEDICAL CONDITION:

LIST OF MEDICATIONS:

ADDITIONAL DETAILS:

FAVORITE PLACES TO EAT, VISIT, HANG OUT:

METHOD OF TRANSPORTATION:

ANY USUAL HABITS:

COMMENTS:

AT-Risk Residents

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Village of Melrose Park

April 18, 2024

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Village of Melrose Park

As a resident, you have the ability to request your own entries that will be directed right to your Law Enforcement Agency. Simply choose the selection below and fill out a form for your request.

If this is an emergency, please call 911