Owasso Police Dept.
Residential Watch Order

Your name is required for this form.

First Name:		Last Name:
Address:
Home Phone:		Phone Number: (while you are away)
Email Address
Emergency Contact Name:
Emergency Contact Number:
Does this person have a key to your residence?
Yes     No
Will Visible lights be left on (timer included)?
Yes     No
If you chose yes, what time will the timer be activated?
What visible lights will be affected?
What vehicles will be left at the residence or will be visiting the home?     (Make, color, year, etc.)
Will there be dogs in the yard?
Yes     No
If you chose yes where are they located:
What is the reason we will be monitoring your home?
What day will you be leaving? (MM/DD/YY)
What day will you arrive home? (MM/DD/YY)
The Owasso Police Department will only monitor your home for a maximum of 2 weeks. If you return home before the date entered on this form please contact the Owasso Police Department.
Would you like to be contacted regarding this information?
Yes     No
If you chose yes, how do you wish to be contacted?
By Phone     By Email
To submit this form, please enter the characters you see in the image:

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