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Vacation House Watch Request

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Disclaimer: Residents can complete this form to notify the Moraga Police Department that they are out of town. Although not guaranteed MPD will attempt to check on your residence. If you come home early or any other information changes, please notify us. *
1. I Agree
Resident's Name*
Address*
Phone Number*
E-mail Address*
Date Leaving*
Date Leaving
Date Return*
Date Return
Persons Authorized on Property (services, relatives, etc.)
Phone Number
Where Resident Can be Reached
Emergency Contact
Persons Staying Overnight
Guest Name
Select If Applies
1. Lights
1. Radio
1. Pets
1. Alarm
Vehicles on the Premises (color, make, model, license number)
Additional Information (construction, lawn, or pool maintenance, etc.)