Form Center

House Watch Program

2. House Watch Program
   Prescott Valley Police Department performs a vacation House Watch service for permanent local residents only. The Police Department will not perform this service for any of the following:<br> <ul> <li>Houses that are for sale/lease/rent and are unoccupied</li> <li>Vacant houses</li> <li>Out-of-towners requesting security checks</li> <li>For a period of time not to exceed 2 months (60 days)</li> </ul> <br> <b>Prescott Valley Police Department is not responsible for any loss or property damage.</b>

   Prescott Valley Police Department performs a vacation House Watch service for permanent local residents only. The Police Department will not perform this service for any of the following:
   

   • Houses that are for sale/lease/rent and are unoccupied
   • Vacant houses
   • Out-of-towners requesting security checks
   • For a period of time not to exceed 2 months (60 days)

   
   Prescott Valley Police Department is not responsible for any loss or property damage.

4. Leave Date
   Leave Date

5. Return Date
   Return Date

6. Phone

8. Name

10. Address

12. City

13. State

14. Zip Code

16. Subdivision

18. Signature

19. Date
    Date

21. Automatic Lighting

    1. Yes
    2. No

22. Lights Left On

    1. Yes
    2. No

24. Where

26. Deliveries Stopped

    1. Yes
    2. No

27. Vehicles on Property

    1. Yes
    2. No

29. Description of Vehicles

31. Make

32. Color

33. License

35. Make

36. Color

37. License

39. Make

40. Color

41. License

43. Dog on Property

    1. Yes
    2. No

44. Dog Fenced

    1. Yes
    2. No

45. Locked

    1. Yes
    2. No

47. Persons with keys or are authorized/responsible for property:

49. Name

50. Phone

52. Address

54. City

55. State

56. Zip Code

58. Name

59. Phone

61. Address

63. City

64. State

65. Zip Code

67. In case of an emergency, where can you be reached (phone)?

69. Anyone else you would like contacted?

    1. Yes
    2. No

71. Name

72. Phone

74. Address

76. City

77. State

78. Zip Code

80. Name

81. Phone

83. Address

85. City

86. State

87. Zip Code

89. Upon return, please call 928-772-5155 to cancel.

91. Date & Time House Check List
    Date & Time House Check List

Leave This Blank:


93. 1. Receive an email copy of this form.
94. Email address

    This field is not part of the form submission.

95. Submit

* indicates a required field