Vacation House Watch Program

Registration Form

Winthrop Harbor residents may use this form to register for the free Vacation House Watch program. [ Click here for program details ]

After submitting the form you will be notified by the Police Department of your registration in the program. If you have any questions please contact us. Thank you.

* Required Information 
Please provide your contact information:

Name *

Address *

Apt. / Unit #

City *

State *

 

Zip code *

 

Telephone *

Best time to call

E-Mail *

   
Please tell us about the property you'd like to register for the Vacation Watch program:

Address *
Winthrop Harbor Only

If same as above, check here:

Type of property

# of Buildings

1 2 3 More -->

Alarm System?

No Yes (Check if monitored: )

Alarm Details

Lights on timers?

 No Yes -->

List any vehicles that will be present while you're away.

   
Please provide the time frame of your vacation plans:

Date Leaving

Date Returning

   
While you're away, have you arranged for someone to -

Pick-up the mail?

 Yes No Delivery Stopped
If Yes, provide name:

Pick-up newspapers?

 Yes No Delivery Stopped
If Yes, provide name:

Care for your pets or house-plants?

 N/A Yes No
If Yes, provide name:
   
In addition to any person(s) already named above, please provide the names of anyone else who has your permission to be INSIDE the home or buildings while you are away:

   
Please provide us with emergency contact information:

Your contact phone

Room/Ext. #

Local contact

Name Phone
   
Please enter any questions or comments or additional information here:
All submitted information is kept in strict confidence by the WHPD.
   
Please review your entries before pressing the Submit button below. Thank you.
   

To leave this page without submitting the form, click here.
 

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