2. Residence/Vacation Watch Request

   Fredericksburg Police Department 

4. First Name:*
5. Last Name:*
7. Address:*
9. City:*
10. State:*
11. Zip Code:*
13. Owner Name if Different from Above:
15. Primary Phone Number:*
16. Secondary Phone Number:
18. Email Address:
20. Start Date Requested:*
    Start Date Requested:
21. Date Returning:*
    Date Returning:

23. Lights on Property

25. Interior lights left on?*

    1. Yes
    2. No
26. Exterior lights left on?*

    1. Yes
    2. No
27. Any lights on timers?*

    1. Yes
    2. No

29. Animals on Property

31. Animals left inside?*

    1. Yes
    2. No
32. If yes, what?
33. Animals left outside?*

    1. Yes
    2. No
34. If yes, what?

36. Vehicles on Property

38. Any vehicles left on the property?*

    1. Yes
    2. No
39. If yes, how many vehicles?
41. Vehicle #1 Make & Model:
42. Vehicle #2 Make & Model:
44. Vehicle #3 Make & Model:
45. Vehicle #4 Make & Model:

47. Keys to the Property

    Type the name and phone number of anyone who has keys to the property.

49. First & Last Name:
50. Phone Number:
52. First & Last Name:
53. Phone Number:

55. Permission

    Type the name and phone number of anyone who has permission to be on the property. (Family, Friends, Landscapers, Other Businesses, etc.)

57. First & Last Name:
58. Phone Number:
60. First & Last Name:
61. Phone Number:
63. I wish to have law enforcement, or their representatives, check the following things during my absence:*

    1. Front door and windows
    2. Rear door and windows
    3. Side doors and windows
    4. Out buildings or outside rooms
    5. Drive by only
65. Additional Comments:
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field