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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. Forms must be received at least 1 week before "Leave Date" to allow for processing/scheduling.*

   1. I understand
6. Leave Date
   Leave Date
7. Return Date
   Return Date
8. Phone
10. Name
12. Address
14. City
15. State
16. Zip Code
18. Subdivision
20. Signature
21. Date
    Date
23. Automatic Lighting

    1. Yes
    2. No
24. Lights Left On

    1. Yes
    2. No
26. Where
28. Deliveries Stopped

    1. Yes
    2. No
29. Vehicles on Property

    1. Yes
    2. No
31. Description of Vehicles
33. Make
34. Color
35. License
37. Make
38. Color
39. License
41. Make
42. Color
43. License
45. Dog on Property

    1. Yes
    2. No
46. Dog Fenced

    1. Yes
    2. No
47. Locked

    1. Yes
    2. No
49. Persons with keys or are authorized/responsible for property:
51. Name
52. Phone
54. Address
56. City
57. State
58. Zip Code
60. Name
61. Phone
63. Address
65. City
66. State
67. Zip Code
69. In case of an emergency, where can you be reached (phone)?
71. Anyone else you would like contacted?

    1. Yes
    2. No
73. Name
74. Phone
76. Address
78. City
79. State
80. Zip Code
82. Name
83. Phone
85. Address
87. City
88. State
89. Zip Code
91. Upon return, please call 928-772-5155 to cancel.
Leave This Blank:


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

    This field is not part of the form submission.

96. Submit

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