Town of Gilbert

Home Security Survey

Survey #              

Sticker given    

  
Resident's Name: _____________________

Day Phone: ________________________________________
 
Address: _____________________________

Night Phone:_______________________________________
 
Rent     Own      Single Family Commercial   Apartment       Trailer
 
Survey conducted by: _________________________________________

Date: ___________________
Areas marked below are specified as deficiencies  

Recommendations   

 Discussed
Latches/ Locks Door(s) Front   Rear  Side  

 Other

 
Windows(s) Front   Rear  Side  

 Other

 
Gate(s) Front   Rear  Side  

 Other

 

        Comments:

 
 
Outdoor Lights / Landscaping Lights Front   Rear  Side  

 Other

 
Trees/Shrubs Front   Rear  Side  

 Other

 
Security Plants Front   Rear  Side  

 Other

 

        Comments:

 
 
Clearly Visible House Numbers Front   Alley   Curb  

 Other

 

        Comments:

 
 
Keeps Garage Doors Closed Yes  No  

 Other

 

        Comments:

 
 
Entry Peep Viewers Yes  No  

 Other

 

        Comments:

 
 
Metal, Solid or Security Screen Doors Front   Rear  Side  

 Other

 

        Comments:

 
 
Operation Identification Yes  No  

 Other

 

        Comments:

 
 
Use of Security Bar for Arcadia Doors Front   Rear  Side  

 Other

 

        Comments:

 
 
Timers for Interior Lights / Radio Front   Rear  Side  

 Other

 

        Comments:

 
______________________________________ _____________ _________ ______ ____ _____ ____ _________ ________
Received info. re: burglaries Yes    No Reviewed Security Habits: Yes    No  
I understand the items marked above and any comments made by the inspector(s) are only security recommendations and nothing is 100% guaranteed to prevent burglaries.  
Residents Signature: