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VILLAGE OF WILLIAMSVILLE, ILLINOIS

Williamsville Police Department

124 S. Walnut St., Williamsville, IL 62693 · (217) 566-3634 (non-emergency)

Office use only

Date received
Received by
Tracking no.

Vacation Watch Request

Officers on patrol will periodically check the outside of your home while you are away. Free to residents inside the Village limits. Please submit at least 48 hours before you leave.

Please print clearly in black or blue ink. Fields marked * are required.

1About you

Full name *
Phone number while away *
Email address *
Property address *

2Dates away

Leaving on *
Returning on *

3Local emergency contact

Someone nearby who holds a key and can be reached if officers find a problem.

Contact name *
Contact phone *

4Anything officers should know?

Special instructions — Vehicles in the driveway, lights on timers, pets on the property, contractors expected.

I certify that the information on this form is true and accurate to the best of my knowledge.

Signature Date