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Cary Town Hall and some staffed facilities will be closed Monday, May 27 in observance of Memorial Day. Some services will also be affected. Learn more.
Please correct the field(s) marked in red below:

1
Type of Entry
Type of Entry
2
Address for CAD Entry
 *
Address for CAD Entry
3
Name of Property Owner
 *
Name of Property Owner
4
Phone Number of Property
 *
5
Date of Birth
 *
6
Emergency Contact Name
 *
Emergency Contact Name
7
Emergency Contact Phone Number
 *
8
Emergency Contact Address
 *
Emergency Contact Address
9
Reason for Flag
10
Name of Person Requesting Entry
 *
Name of Person Requesting Entry
11
Expiration Date (if applicable) 
Questions about this form? Contact Chris Hegele with the Town of Cary Police Department.
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