Residential Information
We will use this to update our system in cases where we need to contact you in case of emergencies, open doors, suspicious activity, etc. 
Name  *
Spouses Name  *
Address *
Phone number
Spouses Phone number
Email *
Spouses Email *
Emergency Contact Information
Do you have cameras that could assist us in cases? *
What streets or areas would your cameras catch? *
Would you like us to put your information into our CivicReady database? This will either send you a text, call or email when messages are sent from the Village and or Police Department? *
Way of receiving message, check all that apply
Other ways to stay up to date with our Department. 
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Website: Village of Delta Police
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