Fillable House-Check-Form-Email-PDF - House Check Request instructions

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House-Check-Form-Email-PDF - House Check Request instructions

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The House-Check-Form-Email-PDF - House Check Request instructions form is 2 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Chevy Chase Village

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Steps for Submitting a House Check Request
1. Scroll down and fill in your pertinent information directly on the House Check Request
Form.
2. Click the File drop down menu in the upper left hand corner of the screen and click
“save as.”
3. Select the location where you would like to save the form and type a file name in the box
mark “file name” on the bottom middle of the window and then click “save”.
4. Once you have completed the House Check Request Form you have three (3) ways to
submit your request:
a. By fax:
i. Submit your House Check Request by fax please send it to (301) 654-
7304.
b. By dropping the form off in-person:
i. The Village Communications Center is open 24-hours per day 7 days a
week for walk-in requests. The address is 5906 Connecticut Avenue,
Chevy Chase, MD 20815.
c. By email:
i. To submit your House Check Request via e-mail send it to
ccvo@montgomerycountymd.gov.
ii. Open your e-mail program and enter ccvo@montgomerycountymd.gov in
the “to” address.
iii. Then attach the completed House Check Request Form you saved to your
computer.
iv. Push the send button. Your House Check Request will be sent to the
Village Communications Center. Once received you will receive a
confirmation reply e-mail stating that your request was successfully
processed.
As always to submit your House Check Request please call (301) 654-7300. A member of the
Village Communications Center staff is available 24-hours per day 7 days a week.
CHEVY CHASE VILLAGE HOUSE CHECK
Routine House Check
Resident Name:
Address:
Date and Time Leaving:
Date and Time Returning:
Emergency Number:
Emergency Number:
EMERGENCY CONTACTS
Name:
Name:
Address:
Address:
Phone Number:
Phone Number:
Key: Yes
No
Key: Yes
No
Car parked in front or left in the driveway?
Yes No
Description of vehicle ____________________
______________________________________
______________________________________
Are the house lights on timers?
Yes No
Location of timed lights or lights left on
__________________________________________
__________________________________________
Anyone residing, visiting or working at the
residence? (Circle one)
Yes No
Information regarding occupancy
__________________________________________
__________________________________________
__________________________________________
Does the house have an alarm system?
Yes No
Alarm Company and if available phone number
__________________________________________
__________________________________________
Pick up Newspapers? Yes No
Relocate on Property Recycle
Disposition _______________________________
__________________________________________
Pick up Mail? Yes No
Pick up Packages? Yes
No
Disposition________________________________
__________________________________________
Received by:
Date: Time:
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Completed 11 July 2020

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