Please fill out the form below to send to the University City Police Department. Questions? Contact UCPD at 314.725.2211

Name*

Address*

Phone*

Email

Date Leaving*

Date Returning*

Do you have an alarm system? *

YES

NO

If you have an alarm system, what is the name of the company you utilize?

Do you have a surveillance system?

Are you leaving lights on? *

YES

NO

Are you leavings timers on? *

YES

NO

Are you leaving house keys with anyone? *

YES

NO

If you ARE leaving keys with someone, please list their name, address and telephone number below.