Form Center

2. The City of Watauga Police Department hopes you and your family have a safe and pleasant time on your vacation. We will make every effort to watch your property closely, but due to the volume of requests we are very often unable to check each residence daily. It is important that you have a trusted friend, neighbor, or relative check your property regularly, removing accumulated mail and newspapers. If your absence is going to be extended, please make arrangements for someone to mow your yard and alter the lights left on inside the house, thereby giving the appearance the residence is occupied. Completing the form below will allow us to contact you or your designee in case of an emergency.
4. Personal Information:
6. 
   
8. Email:*
10. Name:*
12. Address:*
14. Telephone:
16. Departure Date:*
17. Return Date:*
19. 
    
21. Emergency Contact 1:
23. 
    
25. Name:*
27. Address:
29. Phone:*
31. 
    
33. Emergency Contact 2:
35. 
    
37. Name:
39. Address:
41. Phone:
43. 
    
45. Premises Information:
47. 
    
49. Name(s) of persons who have permission to be on premises during absence (List):
51. 
    
53. List a description of vehicles, boats, etc. that will be left at residence. Include as much information as possible.
55. 
    
57. Descriptive Information (Color, Yr., Mdl. Etc.) and License Plate Numbers:
59. 
    
61. Will there be any doors or gates left unlocked or open?

    1. Yes
    2. No
63. 
    
65. Will there be any screens off windows?

    1. Yes
    2. No
67. 
    
69. Any outside buildings left unlocked or open?

    1. Yes
    2. No
71. 
    
73. If Yes to any of the above, describe where?
75. 
    
77. Contact Preferences:
79. 
    
81. In case of emergency do you wish to be contacted by a collect phone call?*

    1. Yes
    2. No
83. 
    
85. Phone Number:
87. Address:
89. 
    
91. Security Information:
93. 
    
95. Personal Code Word:*
Leave This Blank:


97. 1. Receive an email copy of this form.
98. Email address

    This field is not part of the form submission.

99. Submit Submit and Print

* indicates a required field