2. 

3. Sheriff's Office

   Law Enforcement Center
   15015 62nd Street North
   Stillwater, MN 55082
   Phone: 651-430-7601
   Email: sheriff@co.washington.co.mn.us

5. Home or Business Survey Request

   Request the Sheriff's Office to conduct an on-site survey of your home or business to increase in crime prevention efforts. 
   Complete this form, and a deputy will contact you.

7. First Name
8. Last Name
10. Phone Number
11. Email Address
13. Location of Survey Requested
14. Location Type
    -- Select One --ResidentialBusinessMulti-Housing Complex
16. City
17. State
18. Zip
20. Name of Business
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field