House Watch Form

If you are planning a trip out of the area and would like the Shalimar Police Department to watch your home and do extra patrols in your neighborhood while you are away, please complete and submit the form below.

Todays Date

Name

Phone

Address

Emergency Contact Name

Emergency Contact Phone

Reason for Request

Telephone Number where you can be reached

Keys left with anyone? Local Contact?

Lights left on in the House?

Yes

Animals left in the House?

Yes

Anyone working inside/outside the House?

Yes

Date of Departure

Date of Return

Any Special Instructions?

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