Town of Shelby - La Crosse County Wisconsin
   Police Department - House Check

Town of Shelby
Shelby Police Dept
HOUSE CHECKED by POLICE

Last Name: First Name: Initial: DOB Address Phone Number where you can be reached Email Reason for check Dates you will be traveling
to
Emergency name Emergency phone Any lights on in house?
Yes
No
Time lights come on Location of lights Request doors to be checked Request drive bys only