(For Staff Use) Dispatch Incident Number:
Name:
Password:
Timer
Address:
Home Phone: Cell Phone:
Vacation: Other:
Date From:
Time Leaving:
Off
Lights:
On
Hours on:
Newspapers and mail stopped? Yes
No
Other information that may be needed by the police officer checking your residence:
Do you have an alarm system? Yes No
Is it monitored? Yes
No
Type of alarm: Audible
Silent
Is your key holder information current? Yes
No
Alarm Company:
Tel #: Do they have a key? Yes
No
Who can we contact in case of an emergency? Name:
(Use page 2 for additional emergency contacts)
Telephone #
Address:
Do they have a house key? Yes
No
Your vacation telephone number(s):
Persons authorized to be on your premises: (neighbor, yard maintenance, pool/housekeeper)
1.
2.
3.
4.
Vehicles remaining on premise --- make, model, year, color, plate number:
in garage
outside
in garage
outside
in garage
outside
Paradise Valley Police Department
Vacation Watch
6433 E Lincoln Dr
Paradise Valley, AZ 85253
Phone: 480-948-7410 Fax: 480-998-0877
Email: Dispatchers@paradisevalleyaz.gov
________________________________________________________________________
To:
Time Returning:
Paradise Valley, AZ
Email:
The Paradise Valley Police Department will conduct security checks of homes that are temporarily unoccupied during
vacation time as time permits. The frequency of the visits will be determined based on the number of vacation watch
forms submitted and the availability of staff to complete the security checks. Our goal is to make one security check per
week, but this is not a guarantee. Service may be less frequent during peak vacation watch periods (i.e. summer
months). The following requirements are necessary to ensure the safety of the residents and the officers:
The home must be UNOCCUPIED during the indicated times.
The homeowner or occupant must complete a new vacation watch form for each request for the service.
All information requested MUST be provided. This includes a specific password to be used to verify your
identity upon your return. THIS PASSWORD IS NOT YOUR ALARM CODE.
If the homeowner or occupant returns home earlier than the time indicated on the vacation watch form they
must notify Paradise Valley Police Department IMMEDIATELY of their return.
Officers will inspect only readily accessible areas of the property.
PLEASE NOTE:
The Paradise Valley Police department will only be inspecting the perimeter doors and windows including those that
are located in the backyard. If you wish to have your pools or spas inspected or the property monitored for water
leaks we encourage you to hire a company that offers these services. The Paradise Valley Police department will NOT
be checking pools, spas, water leaks, or other areas aside from the perimeter doors and windows.
I have read and acknowledge the content listed above.
Signature:
Date:
Additional Emergency Contacts:
Name:
Tel #:
Home:
Cell:
Business:
Address:
Name:
Tel #:
Home:
Cell:
Business:
Address:
Name:
Tel #:
Home:
Cell:
Business:
Address:
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