Moraga Police Department
Vacation House Watch Request

Have your mail and newspapers picked up regularly. Ask your neighbors to watch your home and call us if they see anything suspicious. If we go into your home for any reason, we will lock it and leave you a note. Please call if you come home early (925) 376-2515.

Resident's Name	*
Address	*
Phone Number	*
Email Address	*
Date Leaving	*
Date Return	*
Persons Authorized on Property (services, relatives, etc.)
Phone Number
Where Resident Can Be Reached
Emergency Contact
Persons Staying Overnight		Select Yes No
Name
Select If Applies		Lights Radio Pets Alarm
Vehicles on Premises (color, make, model, license number)
Additional Information (construction, lawn or pool maintenance, etc)