Skip to content Skip to left sidebar Skip to right sidebar Skip to footer

House Watch Request

To submit a House Watch Request form please fill out the online form below or print out, fill, sign and return the printable form at the bottom of this page to the Police Station.

House Watch Request Form

Owner/Property Information

Name(Required)
Address(Required)
Will you be reachable while you are away?(Required)
List rooms/location in or outside of the home where lights will either be left on or are on a timer or sensor. If on a timer, indicate turn on and shut off times. Please be as specific as possible.
Will Newspapers continue to be delivered?
Will Mail continue to be delivered?
Will anyone be checking/working on the property (repair people, landscapers, snowplowers, cleaning people, pet sitters, ect.)? Is there any other information we should know? Broken windows? Dogs on property?

Alarm Information

Do you have an Alarm?(Required)

Authorized Vehicles

Please include Make/Model, Color, Year, and License Plate Information such as Tag # and State.
Please include Make/Model, Color, Year, and License Plate Information such as Tag # and State.
Please include Make/Model, Color, Year, and License Plate Information such as Tag # and State.

Emergency Contact Information

Emergency Contact 1
Do they have a Key?
Emergency Contact 1 Address
Emergency Contact 2
Do they have a Key?
Emergency Contact 2 Address

Authorization(Required)
This field is for validation purposes and should be left unchanged.

Dallas Township Police Contact Infomation
Mailing Address: 105 LT. Michael Cleary Drive, Dallas, PA. 18612
Physical Address: 2919 SR 309 Highway, Dallas, PA. 18612
Email: police@dallastwp.org

House Watch Request Form

House Watch RequestDownload

Loading