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2. Complete the following information to have a Police Officer drive by your property while you are on vacation.

   House watch requests are limited to 30 days.

   If you need to request a house watch for more than 30 days due to extenuating circumstances, do not use this form.  Instead, please call the Police non-emergency phone number at 303-773-2525 to discuss the request.

4. Contact Information
6. Name:*
8. Street Address:*
10. Home Phone Number:*
12. Cell Phone:
14. E-mail Address:
16. Vacation Information
18. Dates Requested*
    Dates Requested Start Date

    Dates Requested Start Time

    —

    Dates Requested End Date

    Dates Requested End Time

    Request cannot be longer than 30 days.  

20. If you return before your anticipated time, or are unsure of your return time, please call the Police Department at 303-773-2525.
22. Do you have any lights on?
    -- Select One --YesNo
24. Location of lights:
26. Are there any vehicles parked in the driveway or parked in front of the house?
    -- Select One --YesNo
28. Vehicle descriptions:
30. Do you have a home alarm?
    -- Select One --YesNo
31. Name of alarm company and phone number?
33. Do you normally have pets in the house?
    -- Select One --YesNo
35. Where will the animals be cared for?
37. Will someone be coming in your home to care for your pets?
39. Name of care provider?
41. Phone number of care provider?
43. Have you suspended your mail and newspaper service?
    -- Select One --YesNo
45. Emergency Contact Information
47. Name:
49. Address:
51. Home Phone Number:
53. Cell Phone Number:
55. Does your Emergency Contact have a key?
    -- Select One --YesNo
57. Do you have a housekeeper coming to your house?
    -- Select One --YesNo
59. Please provide the name, company, and vehicle of your housekeeper?
61. Do you have a gardner coming to your house?
    -- Select One --YesNo
63. Please provide the name of your gardner, company, and vehicle.
65. Will there be a house sitter taking care of your house?
    -- Select One --YesNo
67. Will anyone be staying in your home while you are away?
    -- Select One --YesNo
69. Any Additional Information:
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit Submit and Print

* indicates a required field