2. Dear Village Resident or Business Owner,
   
   Anyone can become a victim of crime. The Kenilworth Police Department would rather educate you in crime prevention techniques than work with you as a victim. As a component of the Kenilworth Police Department's crime prevention program, we have crime prevention specialists available to you and offer home and business security assessments free of charge. The officer conducting the assessment will look for security as well as safety concerns. After going through the home or business together, the resident and officer may discuss sensitive conditions and why those conditions may jeopardize the security of the home or business. Although we do not make specific brand recommendations, the officer will discuss different types of alarms, locks and lighting systems which may be used. The officer will complete a written report and make recommendations. In either a home or business check, an adult needs to be present and will accompany the officer during the process.
   
   If you are interested in having a security inspection, please fill out the information requested below and submit your application. After we receive your application, an officer will contact you to set up an appointment for your security inspection.
   
   When it comes to criminal activity, an ounce of prevention is worth a ton of cure.
4. First Name*
5. Last Name*
7. Address1*
8. Address2
10. City*
11. State*
12. Zip*
14. Telephone
    Home
15. Telephone
    Work
17. E-Mail*
19. Number of Adult Occupants
20. Number of Child Occupants
22. Type of Building

    1. Residence
    2. Business
    3. Apartment
    4. Single Story
    5. 2 Story
    6. 3 Story

    Check All that Apply
23. Security System

    1. None
    2. Burglar
    3. Fire
    4. Central Station
    5. Direct Police Contact
    6. Outside Ringer
25. Pets

    1. Dog
    2. Cat
    3. Other
26. If other, what?
28. Areas of Interest

    1. Security
    2. Safety
    3. Alarm System
29. Security Includes:
    Locks, Lights, Landscaping, Windows and Doors
31. Please list any other questions or concerns
    After submission a community policing officer will contact you by telephone to schedule an inspection.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field