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Lock for Life

Steps

1. Step One This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete

Step One

Lock for Life is a program available through the Whitpain Township Police Department. It is intended to provide Police, Fire, and Emergency Medical Services Personnel access to your residence in the event of an emergency where you are unable to open the door.
First Name*
Last Name*
Address*
Street Address
City*
State*
Postal / Zip Code*
Country*
Phone Number*
Email Address
Reason for Application
Checkboxes
1. I am 55 years of age or older and live along or am alone on a frequent basis.
2. I have a medical condition that is potentially incapacitating and live alone or am alone on a frequent basis.
3. Other Reason (Describe below) - Note: Execptions to the above requirements will be considered on a case by case basis. If you feel you would benefit from the program, please apply.
Describe Other Reason
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Lock for Life

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Reason for Application

Step Two

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