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2. Security Survey
   The Pittsfield Township Department of Public Safety offers information on ways to keep your property as secure as possible. If you would like an officer to contact you regarding a security survey and assessment of your property, please fill out the following form. A Department of Public Safety representative will contact you as soon as possible.
4. First Name
5. Last Name
7. Phone
8. Best time to contact you
10. Property Type

    1. Residential
    2. Business
11. Request Type

    1. Information
    2. On-Site Survey & Assesment
13. Street Number
14. Street Name
15. Apt #
17. Briefly describe the reason for your request and what kind of information and/or assement you are seeking so that we can tailor this service to your needs.
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field