Extra Patrol Request

[{"type":"paragraph","subtype":"p","label":"To report an emergency, call 911 (where applicable) or your local law enforcement office. This form is for non-emergency contact only. <div><br></div><div>Extra patrol requests are available for traffic complaints (i.e. speeding), suspicious activity, short-term vacations, etc. Please complete the form below and your area or address will be added to our extra patrol list.  These requests are forwarded directly to our patrol division, so we will not contact you after your submission unless you specifically request a follow up call.</div><div><br></div><div>Emergency calls always take precedence over extra patrol requests.  Our Patrol Division stays busy most of the time, and we check on extra patrol requests as we can in between those calls.  Our office receives a lot of these requests, and we do our absolute best to address every one.  Due to the large volume of extra patrol requests we receive, requests are left on the list for a reasonable amount of time before being cycled off.</div><div><div><br></div></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Reason for Extra Patrol Request","name":"Extra-Patrol-Request-Topic","other":true,"className":"col-md-6","values":[{"label":"Traffic Complaint","value":"Traffic Complaint"},{"label":"Suspicious Activity","value":"Suspicious Activity"},{"label":"Short-term vacation","value":"Short-term vacation"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Name","placeholder":"First and Last Name","name":"RP-Name","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Phone (in case additional info is needed)","placeholder":"xxx-xxx-xxxx","name":"RP-Phone-Number","className":"col-lg-4"},{"type":"text","label":"Best time to contact you?","name":"Best-Time-to-Contact","className":"col-lg-4","subtype":"text"},{"type":"textarea","required":true,"label":"Location of extra patrol request","placeholder":"Be as specific as possible.  Include exact addresses (if known), intersections or cross streets, house or vehicle descriptions, etc.","name":"Location","subtype":"textarea","maxlength":300,"rows":5,"className":"d-block"},{"type":"textarea","required":true,"label":"Description of Request ","placeholder":"Describe activity that you are requesting extra patrol for.","name":"Description","subtype":"textarea","maxlength":300,"rows":5,"className":"d-block"},{"type":"header","subtype":"h4","label":"SHORT-TERM VACATION (only complete this section if you are requesting extra patrol for your short-term vacation)","className":"d-block"},{"type":"date","label":"Date leaving","name":"Start-Date","className":"col-lg-4"},{"type":"date","label":"Date Returning","name":"End-Date","className":"col-lg-4"},{"type":"textarea","label":"Description of House","placeholder":"Describe house, list vehicles that should be on site, and any authorized visitors. Also include any other information that we made need while you are gone","name":"House-Description","subtype":"textarea","maxlength":300,"rows":5,"className":"d-block"},{"type":"text","label":"Local Contact (in the event we need someone to respond to the house while you are gone)","placeholder":"First and Last Name, Phone Number","name":"Local-Contact-Info","className":"d-block","subtype":"text"},{"type":"header","subtype":"h4","label":"ADDITIONAL INFORMATION","className":"d-block"},{"type":"textarea","label":"Additional Information","placeholder":"List any other pertinent information here","name":"Additional-Info","subtype":"textarea","maxlength":300,"rows":5,"className":"d-block"},{"type":"checkbox-group","label":"Follow Up Contact","name":"Follow-Up","className":"d-block","values":[{"label":"Yes, please contact me about my request","value":"Yes, please contact me about my request"},{"label":"No, I don't need to be contacted unless further info is needed","value":"No, I don't need to be contacted unless further info is needed"}]}]