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Herrin Police Department House Watch Form
FIRST AND LAST NAME:
ADDRESS:
HOME/CELL PHONE NUMBER THAT YOU CAN BE REACHED AT:
DESTINATION
DEPARTURE DATE AND DATE OF RETURN
WILL YOU TAKE YOUR OWN VEHICLE?
DOES RESIDENCE HAVE A NUMBER ON IT?
COLOR OR RESIDENCE
WILL LIGHTS BE ON? WILL LIGHTS BE ON A TIMER?
WHAT ROOMS WILL LIGHTS BE LEFT ON?
WILL VEHICLES BE LEFT AT RESIDENCE? IF YES, WHO DO THEY BELONG TO?
EMERGENCY CONTACT NAME AND PHONE
WILL ANYONE BE INSIDE RESIDENCE? IF YES, ADD PERSON'S NAME
WHO HAS KEYS TO RESIDENCE AND WHAT IS THEIR PHONE NUMBER?
HAS MAIL BEEN REROUTED? IS NEWSPAPER PICKED UP?
OTHER/MISC. INFORMATION:
SIGNATURE AND EMAIL ADDRESS OF PERSON WHO FILLED OUT THE FORM
SUBMIT FORM
the herrin police department
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