Walker County Sheriff's Office » Vacation Extra Patrol Request Form

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Vacation Watch

Extra Patrol

Homeowner *

Address *

Primary Telephone Number *

Secondary Telephone Number *

Date of Departure *

Time of Departure *

Date of Return *

Time of Return *

Phone Number to be reached in the event of an emergency *

Alternate Contact Name *

Alternate Contact Primary Telephone Number *

Alternate Contact Secondary Telephone Number *

Vehicle left at residence

(include make, model, color, license plate number and state)

Location of Vehicle:

Driveway

Street

Garage

Additional Vehicle

(include make, model, color, license plate number and state)

Location of Vehicle:

Driveway

Street

Garage

Additional Vehicle

(include make, model, color, license plate number and state)

Location of Vehicle:

Driveway

Street

Garage

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Key Holder Name *

Key Holder Address *

Key Holder Home Phone Number *

Key Holder Work Phone Number

Key Holder Cell Phone Number *

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Person at home name

Person at home address

Person at home phone numbers

Person at home reason for being on premise:

Additional Person at home name

Additional Person at home address

Additional Person at home phone numbers

Additional Person at home reason for being on premise:

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Type of Animal(s)

Number of Animals

Location of Animals:

In the house

In the yard

Both

Are you leaving any Lights on?

Do you have an alarm system?

Yes

No

Monitoring Company

Monitoring Phone #

Do you have a pool?

Have you had any recent problems the deputies should be aware of?

Is there any additional information the deputies should know?