House/Vacation Watch Form - Online

In our efforts to make the community safer and to reduce crime, the Boardman Police Department offers this service free of charge.  If requested, we will periodically check the exterior of your home to make sure all doors and windows are secured.  We will contact you directly with any questions or concerns that arise.

Instructions:  Please complete all sections of this form prior to submission.  The information you list on this form will be kept confidential.  If there are any changes to the information you provide, after submission, please contact the Boardman Police Department at (541) 481-6071.

Please enter your first name
Please enter your last name
Please enter the physical address of where you want your house or property to be watched
Best contact number
Please describe the reason you are requesting this watch
Who is making the request
Type of Premises
Alarm System
Monitored by Security Company
Name & phone number of the person who can respond if the alarm is activated
Interior Lights
What if any lights will be left on
Exterior Lights
What if any exterior lights will be left on
Radio or Television
What if any will be left on
Name of the Person keys are left with
Address of person whom keys were left with
Phone number of whom keys were left with
Please describe the vehicles left at residence
Names of any person you have allowed access to your property
In case of emergency do you wish to be notified
Method of notification
I request that a security check be made on the listed property from
and end security checks on
By placing your name here acts as your official signature for purposes of this form
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200 City Center Circle | P.O. Box 229 | Boardman, Oregon 97818 | (541) 481‑9252