Phases 2 & 3 Special Watch (CV Patrol)

Phases II & III Special Watch Request

Phases II & III have currently enlisted the assistance of Allied Universal patrol to provide Special Watch services while Phase II and Phase III residents are away from home. Please complete the form below, in its entirety, and your information will be sent to the patrol officers. When completing the form, please remember to give as much information as possible about your travel dates and times.

Check One: Phase IIPhase III

Village Name:

Today's Date:

Your Name:

Your Address:

Phone #:

Alt Phone #:

Email Address:

Duration Of Watch

Start Date:

Time (am/pm):

End Date:

Time (am/pm) :

Party to be Called in case of Emergency

Emergency Name:

Emergency Address:

Emergency Phone #:

Alt Phone #:

Emergency Email:

House Key Available?
YesNo

Alarm System?
YesNo

If Yes, Does Emergency Party Have Code to Deactivate/Rearm Alarm?
YesNo

Exterior Lights on Timers?
YesNo

If Yes, Between the Hours of (time am/pm) to (time am/pm)

Interior Lights on Timers?
YesNo

If Yes, Between the Hours of (time am/pm) to (time am/pm)

Are Visitors Expected While You Are Away?
YesNo

If Yes, List Individual(s) & Phone Numbers:

Will There be Car(s) in the Driveway?
YesNo

How Many:

If Yes, Please List All Make(s), Model(s) and Color(s):

Other Info:

Disclaimer
This Special Watch service in no way guarantees that your property will be safe from vandalism or burglary, but merely provides the Association and Allied Universal with information of your whereabouts and other pertinent facts if a crime should occur. This service is provided by Allied Universal as a courtesy and the Association does not warrant or guarantee any outcome of the Special Watch services or the prevention of any crime or wrongdoing by any third party.

By completion and submission of this electronic request form, I request Special Watch services of my premise during my absence.

Signature:

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