Vacation Watch Form

Start Date*

End Date*

Your Name:*

Email*

Address of Property:*

Emergency Phone Number: (If owner is needed to be contacted by the police)*

Will you have any lights turned on in the property?*

Yes

Vehicles Outside on Property (List of Make/Model/Plate Numbers)

Person(s) Allowed On Property: (List) (First and Last Names)

I understand that by checking this box I am requesting that the City of Southgate Police Department make periodic checks at the above location while I am away. I understand the City of Southgate Police Department can make no guarantees that the location will not be damaged, burglarized, or otherwise harmed, even with the additional patrols. I hereby hold the City of Southgate Police Department harmless for any incidents that my occur. I understand that checks will be made as Police manpower allows.

I Understand