706 795-6202
Sheriff J. Michael Moore

Madison County Sheriff's Office - 1436 Highway 98 West - Danielsville, Georgia 30633 - 706 795-6202 - Fax: 706 795-2999
706 795-6202
Your reqeust for extra security checks will last for a period of thirth (30) days.  If you choose to renew your request please call the Sheriff's Office at (706)795-6202, or stop by the office at 1436 Hwy 98 West, Danielsville, to renew your reqeust.

Please use the complete form to provide us with the most accurate information to serve you.  PLease list the reason for the request, any animals, vehicles, or people that should or should not be there.  Also, include anything that deputies whould be aware of like alarm systems and any activities that may have prompted you to request extra security.

You may submit this form electronically, or if you would like click here to download a pdf form to fill out and return to the office.  
REASON FOR REQUEST:
ADDRESS:
LOCATION TYPE:
OWNER'S NAME:
HOME PHONE:
BUSINESS OR CELL PHONE:
START DATE:
END DATE:
EMERGENCY CONTACT:.
LIST THE NAMES OF PEOPLE AND VEHICLE DESCRIPTIONS THAT SHOULD OR SHOULD NOT BE AT THE LOCATION. 
I AGREE TO NOTIFY THE MADISON COUNTY SHERIFF'S OFFICE WHEN I RETURN SO THAT THIS FORM CAN BE CANCELLED OR IF IT NEEDS UPDATEING.  I UNDERSTAND THAT THIS REQUEST IS FOR A GENERAL PATROL THAT MAY BE PROVIDED, AS TIME AND CIRCUMSTANCES PERMIT BY THE MADISON COUNTY SHERIFF'S OFFICE PATROL DIVISION.  I AM ALSO AWARE THAT IN THE PROCESS OF PROVIDING THIS SERVICE, THE MADISON COUNTY SHERIFF'S OFFICE, MADISON COUNTY GOVERNMENT, AND ITS PERSONNEL CANNOT AND WILL NOT BE HELD RESPONSIBLE OR LIABLE FOR ANY INJURIES, DAMAGES, THEFTS, BURGLARIES, OR ANY OTHER SITUATION OR INCIDENT THAT MAY OCCUR.  FURTHERMORE, I AGREE THAT I WILL NOT BE UNDER ANY FALSE SENSE OF PERSONAL SECURITY OR THE PROPERTY COVERED BECAUSE OF THIS REQUEST.
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YOUR EMAIL ADDRESS:
RESIDENCEBUSINESSFARM
I AGREE