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Vacation House Watch Request

2. 
3. WARRENVILLE POLICE DEPT
   3S245 Warren Avenue, Warrenville, IL 60555 / Non-Emergency (630) 393-2131 / FAX (630) 393-4071
4. VACATION HOUSE WATCH REQUEST
6. Today's Date
   Today's Date
8. VACATION HOUSE WATCH BEGINS*
   VACATION HOUSE WATCH BEGINS

   VACATION HOUSE WATCH BEGINS

   List when the house watch request should start.

9. VACATION HOUSE WATCH ENDS*
   VACATION HOUSE WATCH ENDS

   VACATION HOUSE WATCH ENDS

   List when the house watch request will stop.

11. Person Requesting Watch: First Name
12. Person Requesting Watch: Last Name
14. Vacation House Watch Address (in Warrenville)*
16. VEHICLES AT HOUSE WATCH LOCATION
    (List all vehicles that will be at this location during the requested house watch time frame.)
18. Vehicle #1 (Include vehicle Make, Model, and Licence Plate number and State)
19. Vehicle #1 belongs to:
    -- Select One --RelativeNeighborOther
21. Vehicle #2: (Include vehicle Make, Model, and Licence Plate number and State)
22. Vehicle #2 belongs to:
    -- Select One --RelativeNeighborOther
24. Vehicle #3 (Include vehicle Make, Model, and Licence Plate number and State)
25. Vehicle #3 belongs to:
    -- Select One --RelativeNeighborOther
27. Vehicle #4 (Include vehicle Make, Model, and Licence Plate number and State)
28. Vehicle #4 belongs to:
    -- Select One --RelativeNeighborOther
30. LIGHTS AT HOUSE WATCH LOCATION
    (Please describe and include location and time illuminated, if applicable)
32. Night Lights / Lights on Timers / Flood lights / Motion Detectors
34. ON PREMISES
36. ALARM SYSTEM ON PREMISES - Indicate all that apply

    1. Alarm System
    2. Guns

    1. Guard Dog for protecting premises
    2. Family Pet(s) including "pet dog"
38. EMERGENCY CONTACTS
40. Emergency Contact #1: First Name
41. Emergency Contact #1: Last Name
43. Contact #1: Phone Number
44. Relationship
    -- Select One --RelativeNeighborOther
46. Emergency Contact #2: First Name
47. Emergency Contact #2: Last Name
49. Contact #2: Phone Number
50. Relationship
    -- Select One --RelativeNeighborOther
52. OTHER INFORMATION
    (Please list any information that may be helpful to the officer.)
54. WARPD-00176, revised 07/08/20
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

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