Jefferson PD- Vacation Watch Request
Please complete the following document to allow us to add you to the Vacation Watch List. Vacation house checks will be performed as often as time permits.
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Name: (First and Last) *
Address to be checked:  (123 Short St.) *
Phone Number: (Primary and Secondary) *
Departure Date-Return Date: *
Local Emergency Contact Name: (neighbor or family)
Local Emergency Contact Phone Number:
Vehicle Left on Property: (2005, Dodge Ram, LKE-123)
Does the house have an alarm?
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What alarm company?
Please consider leaving lights on. Make sure to lock all doors to include vehicles. Please add any special notes that could help us assist you.
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