Police House Watch Form

Salado Police Department

313 North Stagecoach Road

Salado, Texas, 76571

Phone (254) 947-5681

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Applicant's Information

First Name *

Last Name *

Telephone Number *

Email Address *

Phone Number *

Home Address (No. and Street Name) *

City *

State *

Zip Code *

House Watch Information

Date Leaving the House *

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Time Leaving the House *

Date Returning to the House *

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Time Returning to the House *

Description of Cars at Residence While Out of Town *

Lights left on? *

Yes

Lights on Timers? If so, what times? *

Locations of Lights Left on in the Residence *

Vicious Dog/Miscellaneous Information *

Name of Emergency Contact *

Phone Number of Emergency Contact *

Does the Emergency Contact Have a Key? *

Yes

Address of Emergency Contact *