Atherton Resident Information

The Atherton Police Department accepts the following information online. We do not currently have a SSL (Secure Socket Layer) server, so all information sent by our online forms is unencrypted. If you feel uncomfortable sending any information that is requested, please type "CALL" in the box and a police dispatcher will contact you for the additional information. Please feel free to fill in all the information that you are comfortable submitting. The sole purpose of these forms is as a convenience to you.

Atherton Resident Information Form

Alarm Account Number:

Resident Name:

Spouse:

Street Address:

Cross Street:

Home Phone:

Work Phone:

Cellular Phone:

Pager:

Alarm Company:

Alarm Company Phone:

Responsible Information

Responsible #1 Information:

Name:

Spouse:

Street Address:

City:

Home Phone:

Work Phone:

Will the responsible respond? Yes No

Does the responsible have a key? Yes No

Responsible #2 Information:

Name:

Spouse:

Street Address:

City:

Home Phone:

Work Phone:

Will the responsible respond? Yes No

Does the responsible have a key? Yes No

Responsible #3 Information:

Name:

Spouse:

Street Address:

City:

Home Phone:

Work Phone:

Will the responsible respond? Yes No

Does the responsible have a key? Yes No

Alarm Information

Is your alarm connected to the Atherton Police Department? Yes No

Location of alarm turn off:

Alarm reset code:

Is the Alarm: Silent Audible

Does the alarm automatically reset? Yes No

If so, in how many minutes:

Miscellaneous Information

Dogs on property? Yes No

How many?

Dog's names:

Are dogs friendly? Yes No

Guns in residence? Yes No

Key on file at the Police Department? Yes No

Night lights on at night? Yes No

Location of night lights:

What is your gate code:

Your E-mail address: