Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Brevard Police Reassurance Program Addition

  1. City of Brevard Reassurance Program Signup Form

    This is for City residents only. For the county’s reassurance program they can contact the Transylvania County Sheriff’s Office at (828) 884-3168

  2. Please include a first and last name

  3. This should include make, model, color, tag number, and tag state

  4. What time should we expect their call each morning?

  5. Leave This Blank:

  6. This field is not part of the form submission.