Security Check Form

I affirm that I am the owner/ legal occupant of the property indicated, and further agree to hold harmless the City of Lancaster Police Department and any of its agents or representatives, acknowledging that by completing this form and filing the same with the City of Lancaster Police Department, I am requesting that a record be maintained that said property will be vacant during the times listed below. I further acknowledge, the filing of this registration in no way binds or implies that the City of Lancaster Police Department will be responsible for the security and safekeeping of my property.