House Watch Request - Village of Rye Brook

Rye Brook Police Department
Vacant House Watch - This service is not available to those that will have someone staying at the residence. The homeowner or occupant of the residence must be away for more than three days. A vacant house must consist of anofficer checking the residence and surrounding area for suspicious activity at random times, as times and call load permits. The homeowner or occupant of the location must request a vacant house watch and will be effective for no more than thirty (30)days. If the homeowner or occupant returns early, please contact the police department to take the address off the vacant house list. Information received after business hours will be entered the next business day.
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone * Required
Cell Phone * Required
Email * Required
Local Emergency Contact Name
First Last
Contact Phone Number
Date Leaving:
MM slash DD slash YYYY
Date Returning:
MM slash DD slash YYYY
Does Emergency Contact Have Access to the residence? * Required
- Yes
- No
Mail Service/Newspaper Delivery Stopped? * Required
- Yes
- No
Reason for Request: * Required
(If increased Patrol,include case or incident number)
Is the information below already on file with us?
- Yes
- No
Please include a contact phone number and email address in case we need to contact you.
Is there an Alarm System? * Required
- Yes
- No
Please list Broken/Torn/Defective Doors, Windows or Screens? Where are they located?
Defective Item Location
Please list caregiver's name and type of vehicle, if pets where left under care.
Name Type of vehicle
Will anyone be accessing the house for any reason? Please list their info and purpose along with their phone number.
Name Phone Number Purpose
Will lights be on timer?List the time do they go on/off & Location.
Time go on/off Location
Vehicle left at residence (include where your vehicle is parked, in front, driveway. etc.
Year Make/Model Color Lic # State Where?

Defective Item	Location

Name	Type of vehicle

Name	Phone Number	Purpose

Time go on/off	Location

Rye Brook Police Department