PATTON VILLAGE POLICE DEPARTMENT VACATION WATCH FORM

The Patton Village Police Department provides a Vacation Watch Service to our citizens.  During your absence, our officers will check your residence on a routine basis to ensure that it is safe. This form is submitted securely by email directly to the Police Department.

Upon your return, please telephone the department at 281-689-9511 and let us know you have returned.

NAME: 

ADDRESS: 

EMAIL ADDRESS: 

DATE LEAVING:      DATE RETURNING: 

PHONE NUMBER IN HOUSE: 

CARS ON PROPERTY (Please include license plate number):

PERSONS WITH ACCESS TO PROPERTY:

LIGHTS ON TIMERS: YES  NO

ROOMS WITH LIGHTS ON:

EMERGENCY CONTACT INFORMATION:

ANY OTHER INFORMATION (Please include your email address):

Click "Submit" to send this information to the Police Department.  You will receive a confirmation page indicating what information you have submitted.  Please print this for your records.