House Watch


If you are going on an extended vacation or if you go out of state for the winter and would like an officer to conduct a premise check of your residence, you can complete the following form and e-mail to lkimmerly@tittabawassee.org. You can also mail the completed form to the department at the attention of Leslie Kimmerly, or drop it off at the department during regular business hours. If you return from vacation early, please contact the department so that we may discontinue the check.

HOUSE WATCH FORM

* Indicates Required Field

Today's Date *


Email


Name *


Home Phone *


Cell Phone


Address *


Departing Date *


Automatic Lights On? *
 Yes
 No

Alarm? *
 Yes
 No

Are There Any Animals In The Home? *
 Yes
 No

In Case Of Emergency, Will Someone Have Keys To The Home? *
 Yes
 No

If Yes, Who?


Address


Home Phone


Cell Phone


Returning Date *


City *


State *


Where In Home Are Automatic Lights Located?


Other Persons That May Have Access To The Premises(Relatives, Workers, Etc.)


Vehicle In Driveway (Make/Model/License#)


Vehicle In Driveway (Make/Model/License#)


Vehicle In Driveway (Make/Model/License#)


Is There Any Other Information That May Be Important For An Officer To Know?


  
Mail to: 
Tittabawassee Township Police Department
P.O. Box 158
Freeland, Michigan  48623
Attention:  Leslie Kimmerly