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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:
   

   • 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