This form is used to notify us of your upcoming vacation. The answers to the information requested will allow us to be better aware of your absence from the residence, and will give us the necessary information to contact you or your designated representatives in case of an emergency while you are away. Please complete the form as thoroughly as possible.

NOTE: If for some reason you do not leave on time or you return early, please notify us to have the vacation watch stopped so that law enforcement officers do not startle you during the checks.

Vacation Watch Application
Last Name:  First Name: 
Address: 
Phone: 
Alt. Phone 1: Alt. Phone 2:
Date/Time Leaving: 
Date/Time Returning: 
E-mail Address: 
Re-enter E-mail: 

Are there any pets in the house?
If yes, what kind?
Did you stop the paper delivery?
Notes:
Did you stop the mail?
Notes:
Does the house have an alarm?
Notes:
Did you leave music playing?
Notes:
Are there any broken windows?
If so, where/what?
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