House Check Form

…your house is in good hands

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Fill Out and Submit to the Station, a House Check Form to have Timberlake Police keep an eye on your house during your vacation.

Your Name (required)

Your Email (required)

Address

Date Leaving

Date Returning

Home Phone

Cell Phone

Emergency Contact

Emergency Contact Phone

Key?
YesNo

Alarm?
YesNo

Alarm Company

Alarm Contact

Lights

Lights On
YesNo

Lights Motion
YesNo

Broken Doors
YesNo

Broken Door Locations

Newspaper
YesNo

Newspaper Collection
YesNo

Pets
YesNo

Type of Pets

Pet Care Contact

Car 1, License

Car 1, Make and Model

Car 2, License

Car 2, Make and Model