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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. Home Phone Number
15. Cell Phone Number
16. Email Address
18. Requested House Watch Street Address (must be located in Warrenville)*
20. VEHICLES AT HOUSE WATCH LOCATION
    (List all vehicles that will be at this location during the requested house watch time frame.)
22. Vehicle #1 (Include vehicle Make, Model, and Licence Plate number and State)
23. Vehicle #1 belongs to:
    -- Select One --RelativeNeighborOther
25. Vehicle #2: (Include vehicle Make, Model, and Licence Plate number and State)
26. Vehicle #2 belongs to:
    -- Select One --RelativeNeighborOther
28. Vehicle #3 (Include vehicle Make, Model, and Licence Plate number and State)
29. Vehicle #3 belongs to:
    -- Select One --RelativeNeighborOther
31. Vehicle #4 (Include vehicle Make, Model, and Licence Plate number and State)
32. Vehicle #4 belongs to:
    -- Select One --RelativeNeighborOther
34. LIGHTS AT HOUSE WATCH LOCATION
    (Please describe and include location and time illuminated, if applicable)
36. Night Lights / Lights on Timers / Flood lights / Motion Detectors
38. ON PREMISES
40. 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"
42. EMERGENCY CONTACTS
44. Emergency Contact #1: First Name
45. Emergency Contact #1: Last Name
47. Contact #1: Phone Number
48. Relationship
    -- Select One --RelativeNeighborOther
50. Emergency Contact #2: First Name
51. Emergency Contact #2: Last Name
53. Contact #2: Phone Number
54. Relationship
    -- Select One --RelativeNeighborOther
56. OTHER INFORMATION
    (Please list any information that may be helpful to the officer.)
58. WARPD-00176, revised 05/18/22
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60. 1. Receive an email copy of this form.
61. Email address

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