Extra Patrol Request


  • *Name:
  • *Address:
  • *Phone:
  • Case Number: (If available)
  • *Type of Request:
    Extra Patrol
  • New Move in (Residence)
  • New Business

  • Reason:

  • *Dates/Times
  • Any notes / Describe why:
  • Specific people or cars to watch for:

  • For verification, please type the characters you see in the picture below.


  • I agree as a condition of submission to release, defend, indemnify and hold the City of South Jordan, its officers, agents, employees and volunteers harmless from and against any and all loss, judgments, damages, or expenses, arising from or incurred by reason of any claim, lawsuit or action in law or equity, based upon property damage or theft to the property listed on this submission, except to the extent that such injury or damage is directly caused by the negligent acts or omissions of the City of South Jordan, its officers, agents, employees or volunteers resulting from my request for this service.