The Maryland Heights Police Department offers a vacation watch program to help look after your home while you are out of town. Our police officers will make a point to stop by your residence to check it over while you're gone to make sure it’s secure. To schedule a vacation watch, complete and submit this form. If you prefer to request over the phone, call (314) 298-8706 during business hours (8:00 a.m. to 5:00 p.m.) or (314) 298-8700 after normal business hours.

1

Name:

 *

Name:

2

Address:

 *

Address:

3

Phone Number:

 *

Phone Number:

4

Email:

Email:

5

Leaving on: 

 *

Leaving on:

6

Returning on:

 *

Returning on:

7

How can we contact you in an emergency?

 *

How can we contact you in an emergency?

8

Key left with:

Key left with:

Name:

Address

Phone Number:

9

Any lights left on?

Any lights left on?

Yes

No

10

Any vehicles left at the residence?

Any vehicles left at the residence?

No

Yes (Please list in field below)

11

Paper or mail stopped?

Paper or mail stopped?

No

Yes

12

Will anyone be on the premises? 

Will anyone be on the premises?

No

Yes

13

Do you have an alarm on residence?

Do you have an alarm on residence?

No

Yes (Who or what company can be notified in case alarm is activated? Please provide contact information.)

14

Are there any animals that will be left in the yard?

Are there any animals that will be left in the yard?

No

Yes (Please describe in field below.)

15

Is there additional information you would like us to know?

Is there additional information you would like us to know?

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2. Email Address

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