House Check Information

Email:
Name:
Complete Street Address:
Date Leaving:
Date Returning:
Local Contacts, including phone numbers:
Your Cell Phone Number:
Please list area's in the home that will have lights on:
Please list any vehicles that will be on the property, including license plate numbers:
Will anyone be on the property while you are gone? ( feeding pets, getting mail, lawn care, etc):
If Yes, please list names and vehicle information:
Any other information?:
Your contact information in case of an emergency:
Dear Resident, This service in no way guarantees that your property will be safe from vandalism or burglary, but merely provides the police department with information on your whereabouts and other pertinent information, should a crime occur.Although we will do our best,this service in no way implies that your home will be checked on a daily basis. I give the Manchester Police the authority to be on my property and to take police action as a result of criminal activity. Signature( Please Type Your Full Name):

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