SOUTHWEST DAR FORM

SOUTHWEST DAR FORM
LOCATION*
SPECIFY IF OTHER
OFFICER NAME

First NameLast Name
DATE WORKED

MonthDayYear
SHIFT START

:HourMinutesAM/PM Option
SHIFT END

:HourMinutesAM/PM Option
NEW ORDERS RECEIVED?

YESNO
NEW ORDERS
PROPERTY DAMAGE?

YESNO
LOCATION
LIGHTS OUT?

YESNO
LOCATION
PARKING VIOLATIONS?

YESNO
LOCATION AND CAR INFO
UNAUTHORIZED VISITORS

YESNO
LOCATION
THEFTS, ATTEMPTS OR COMMITED

YESNO
LOCATION
DOOR LOCKS OR DOORS BROKEN?

YESNO
LOCATION
CALLS FOR SERVICE STAFF?

YESNO
STAFF MEMBER CALLED

First NameLast Name
MAINTENANCE REQUIRED?

YESNO
LOCATION AND REASON
UNUSUAL ODORS

YESNO
LOCATION
SUSPICIOUS ACTIVITY?

YESNO
EXPLAIN
INTRUSION ALARMS ACTIVATED?

YESNO
LOCATION AND REASON
HOA RULES VIOLATIONS?

YESNO
VIOLATORS NAME

First NameLast Name
VIOLATORS ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
CA LICENSE #
VIOLATORS TEL

Area CodePhone Number
VIOLATION TIME

:HourMinutesAM/PM Option
HOA CITATION ISSUED?

YESNO
VIOLATION DETAILS
ARREST MADE?

YESNO
ARRESTING OFFICER NAME AND DEPARTMENT
SAFETY COMPLAINTS?

YESNO
EXPLAIN
SPRINKLE PROBLEMS?

YESNO
LOCATION
VISIT BY POLICE/FIRE/MEDIC ON SCENE?

YESNO
EXPLAIN
FIRE HAZARDS?

YESNO
EXPLAIN
FIRE DOORS EXITS OR LANES BLOCKED?

YESNO
EXPLAIN
OTHER ACTIVITIES.
HOURLY LOG
RELIEVING OFFICER

First NameLast Name
Should be Empty: