House Watch Request

The Moore Police Department can provide extra patrol for your residence as staffing allows. Please complete the form below to request this service.

Residence Information

Address

Address Additional

Primary Contact

First Name

Last Name

Phone

Secondary Contact

First Name

Last Name

Phone

Dates you will be away from the address listed above:

From Date

To Date

Comments

Do you expect visitors at your house while you are away?

(e.g. family, pet sitters, contractors, etc.)

Yes

List Visitors

Full Name	Vehicle Make/Model/Color	Days/Times	Operations
Full Name	Vehicle Make/Model/Color	Days/Times

Were the lights left on?

Yes

Comments

Do you have pets in the yard?

Yes

Comments

Do you have an alarm?

Yes

Comments

By submitting this request, I agree that I am a lawful resident of the address given above.

I am requesting enhanced surveillance by the Moore Police Department of the address listed above. The Moore Police Department will provide extra patrol during the dates listed above as staffing allows. I agree to notify the Moore Police Department if any information on this form changes, at anytime (day or night), by calling (405) 793-5171.

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