Pine Lake, GA - House Watch

One of the benefits of living in Pine Lake is having an officer check-out your home while you are away. Please complete this form and your Pine Lake police team will help monitor your property while you are away. Enjoy your time away from Pine Lake and we look forward to having you back home safely. Thanks!
Name of Resident:*

First NameLast Name
Date:*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
P.O. Box:
Email:*
example@example.com
Phone Number:*

Area CodePhone Number
Alternate Phone Number:

Area CodePhone Number
Departure Date:*

MonthDayYear
Date
Return Date:*

MonthDayYear
Date
Inside Lights?
Outside Lights?
Alarm?
Alarm Company:
Alarm Phone:

Area CodePhone Number
Cars on Property?
Make/Color:
License Number:
Make/Color:
License Number:
Key with Neighbor?
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If we observe anything unusual, whom should we contact?
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Additional Comments:

0/300
The Pine Lake Police Department Vacation House Watch Program is voluntary and not contractual. The program is designed to inform the police of your absence from the home in case of any unusual occurrence in the area. Participation in the program does not assure any particular level of police protection; nor does it create any special duty toward you on the part of the city of Pine Lake, its officers or agents. The Pine Lake Police Department bears no responsibility for losses incurred on or about your property.
Please verify that you are human*
Should be Empty: