Crime Control and Prevention

VACATION WATCH REQUEST
Name:
Address:
City
Zip Code:
Telephone:
Email Address:
Dates you expect to be away:

depart: 
return: 


CHECK ALL THAT APPLY
Someone else will also be monitoring the residence.  If yes, enter their name, address, and telephone number.
Name:         
Address:     
Telephone: 


I am leaving light(s) on while I am away.  If yes, describe which lights will be left on.


Vehicle(s) will be left.  List any vehicle(s) that will be left at the residence.



In case of an emergency the Prairie View Police Department will be able to reach the following person.
Name:        
Telephone: 

Additional Comments / Requests: