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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:

IMAGE UPLOAD :
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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:

Over Night Parking

Provide us the details of your vehicle and the location it will be parked over night. We will add your request to our database to ensure a ticket is not given.

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Vacation Watch

Provide us the details of your property and the date ranges you will be gone. Once added to our database, your property will be added to our list of vacation watches for officers to check on (time-permitting).

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Pet Management

Provide us the details of your pet. Once added to our database, your pet information will be available to the police department in case of lost or stolen.

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Parking on Village of Wheeling streets is prohibited between the hours of 2:00 A.M. and 6:00 A.M. or anytime there is two or more inches of snow. If residents need to park a vehicle overnight, they must contact the Wheeling Police Department by phone at (847)459-2632 or submit your request using this online system. Requests must be received prior to 2:00 A.M. and any requests made after 2:00 A.M. may be subject to a parking citation. Each household is limited to a maximum of three (3) consecutive nights and a total of five (5) nights within a calendar month. For any special requests and/or requests beyond the limit, residents can contact the Wheeling Police Department at (847)459-2632. Permission will not be granted for any type of recreational vehicle/ trailers or commercial vehicles.

ALL TRAFFIC AND PARKING LAWS/REGULATIONS MUST BE OBSERVED AT ALL TIMES.

The Police Department does not remove feral cats. Please call either of the approved Trap, Neuter, & Release Program Contacts:

Feral Feline Project 847-800-0095 or Second Chance Pet Adoption 630-829-6013.

If this is an emergency, please call 911

KEY HOLDER INFO:

ALARM INFO:

Comments:

Wheeling Police Department

OVERNIGHT PARKING ENTRY

DETAILS:

OVERNIGHT PARKING

VACATION WATCH ENTRY

CONTACT INFO:

DETAILS:

VACATION WATCH

CONDITION REPORT ENTRY

DETAILS:

CITIZEN REPORTING

INCIDENT LOCATION:

PERSONAL CONTACT INFO:

INCIDENT INVOLVES A VEHICLE:

INCIDENT INVOLVES PROPERTY:

CITIZEN REPORTING

BIKE MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

PET MANAGEMENT ENTRY

CONTACT INFO:

DETAILS:

KEY HOLDER ENTRY

COMPANY INFO:

KEY HOLDER INFO:

ALARM INFO:

Key Holder Entry:

KEY HOLDER ENTRY

Residence Info:

KEY HOLDER INFO:

ALARM INFO:

Comments:

AT-RISK RESIDENTS ENTRY

PERSONAL CONTACT INFO:

EMERGENCY CONTACTS:

MEDICAL CONTACT INFORMATION:

ADDITIONAL DETAILS:

COMMENTS:

AT-Risk Residents

Wheeling Police Department