Published on Town of Tyrone (http://www.tyrone.org)

House Watch Registration Form

Going out of town? The police department offers a vacation house watch service. Our officers will check your residence oncer per shift while you're away and let you and/or your contact person know if something is wrong.

Your Name: *

Your Email: *

Phone 1: *

Phone 2:

Enter an alternate phone number where you may be reached.

Street Address: *

Departure Date: *

Departure Time: *

Return Date: *

Return Time: *

Burglar Alarm: *

Yes

Will any lights be left on?: *

Yes

It is recommended that you leave some lights on in your home during your absence.

If so, in what rooms?:

Will a key be left with anyone?: *

Yes

It is recommended that you leave your key with a trusted neighbor or nearby family member/friend in case of emergency. Don't forget to share your alarm code with your key holder.

If so, please proved their name and phone number(s):

Will anyone be on the premises?: *

Yes

If so, who?:

Please list any authorized persons who we may encounter while checking your residence. This would include anyone checking your mail, feeding your animals, etc.

Describe any vehicles that will be left on the premises.: *

Additional Comments:

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Copy the characters (respecting upper/lower case) from the image.

Source URL: http://www.tyrone.org/node/123