Dear New Home Owner: 

Please fill out the New Residence Form below and return to the East Bridgewater Police Department. This information is needed for updating our computer and ensuring the safety of you and your children with our Fire and Police Departments. Thank you for your prompt response to this request.

 

 NAME:                        DOB:

 

ADDRESS:  

 

HOME PHONE NUMBER:                        WORK PHONE NUMBER:

 

 

DAYTIME CONTACT NUMBER (Name optional):

 

 

NAMES AND BIRTH DATES OF OCCUPANTS AND CHILDREN:

 

1.  7.
2. 8.
3. 9.
4. 10.
5. 11.
6. 12.

ANIMALS (if any ):

 

 

ALARM COMPANY (if any) AND PHONE NUMBER: