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2. Owner/Resident Information:
4. Owner or Resident's Name*
6. Address*
8. Business Name
10. Owner/Resident Primary Contact Number*
11. Owner/Resident Secondary Contact Number
13. Owner/Resident Email Address*
15. Start Date*
    Start Date
16. End Date*
    End Date
18. Reason for Request*
20. Emergency Contact Information
    In case of emergency, we will attempt to contact the person(s) you list below. An emergency contact should be someone who can respond to the home or business, day or night, with a KEY and access to the ALARM SYSTEM (if needed). Please provide at least two contacts.
22. Name
23. Primary Contact Phone
24. Secondary Contact Phone
26. Name
27. Primary Contact Phone
28. Secondary Contact Phone
30. Name
31. Primary Contact Phone
32. Secondary Contact Phone
34. Name
35. Primary Contact Phone
36. Secondary Contact Phone
38. Vehicle Information
    Please provide any information on any vehicles that will be left parked at your residence/business. Include any trailer that has a license plate.
40. Location
41. Plate Number
42. Color
43. Make/Model
45. Location
46. Plate Number
47. Color
48. Make/Model
50. Location
51. Plate Number
52. Color
53. Make/Model
55. Location
56. Plate Number
57. Color
58. Make/Model
60. Additional Information
62. Will lights be left on?*

    1. Yes

    1. No
63. Which Rooms?
65. Are lights on a timer?*

    1. Yes

    1. No
66. What times?
68. Will there be pets on site?*

    1. Yes

    1. No
69. Location of pet(s)?
71. Is there an alarm system?*

    1. Yes

    1. No
72. Alarm Company Name and Contact Number
74. Will anyone be house sitting, feeding pets, or watering plants at this location in your absence?*

    1. Yes

    1. No
75. Who?
76. When?
78. Conditions of Service
    The Woodland Park Police Department is pleased to provide additional house watch services to Woodland Park homeowners and residents. Short-term watches (1 month or shorter) will expire one week after the return date listed on this watch form. To avoid confusion, please call the police department at 719-687-9262 upon your return. Long-term watches (1 month or longer) must be renewed monthly by the homeowner or resident via phone. Please understand that the Woodland Park Police Department may have periods of time in which higher priority calls will take precedence. Houses will be checked periodically, but not necessarily on a daily basis during this time.
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80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

* indicates a required field