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Buchanan County Sheriff's Office Residence Watch Form
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Sheriff's Office Residence Watch Form
Date
Date
Name
*
Address
*
Telephone Number
Date / Time of Depature
*
Date / Time of Depature
Date / Time of Depature
Date / Time of Return
*
Date / Time of Return
Date / Time of Return
Type of Structure
*
-- Select One --
Residential
Commercial
Storage Area
Will lights be left on?
*
-- Select One --
Yes
No
If yes, what rooms
Automatic Timer On
Automatic Timer On
If there is an automatic timer for lights, what time will they come on?
Automatic Timer Off
Automatic Timer Off
If there is an automatic timer for lights, what time will they go off?
Home equipped with an alarm?
-- Select One --
Yes
No
If yes, name of alarm company
Guard animals within the structure?
-- Select One --
Yes
No
PERSONS TO BE NOTIFIED IN EVENT OF TROUBLE
Name
*
Address
Telephone Number
*
Name
Address
Telephone Number
Additional Information
Please include any additional information that might be beneficial to the officers checking the structure.
Please provide your email address
Leave This Blank:
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