Scott Township - House Watch Form

Scott Township
HOUSE WATCH FORM
Name:
Address:

Phone:
Date Leaving: Date Returning:

Will any person(s) be in and/or around house while you are away?
Yes No
If yes, when? / Who? (list names)
Name: Name:
Phone: Phone:

Person(s) to notify in case of an emergency?
Name: Name:
Address: Address: Phone: Phone:

Your destination phone number:

Person(s) who have keys:
Name: Name:
Phone: Phone:

Will any lights be left on? Yes No
Where: When:
Where: When:

Other Comments:

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