Vacation Check List

To request that a Pantego Police Officer check on your house while you are away for an extended time, please fill out this form.

*Resident's Name:

*Address:

*Home Phone:

*Alternate Phone:

Email Address:

*Leaving Date:

*Returning Date:

*1st Emergency Contact Person: Who should we contact in case of an emergency?

*1st Emergency Contact Person's Vehicle(s): Please include what vehicle(s) the contact person will use.

*1st Emergency Contact's Phone Number:

*1st Emergency Contact's Alternate Phone Number:

2nd Emergency Contact Person:

2nd Emergency Contact Person's Vehicle(s): Please include what vehicle(s) the contact person will use.

2nd Emergency Contact's Phone Number:

2nd Emergency Contact Person's Alternate Number:

Pool Service?

Day's There:

Lawn Service?

Day's There:

Cleaning Service?

Day's There:

*Alarm System?

*Phone Number:

*Will Lights Be Left On?

What area of the house will lights be left on?

*Have you stopped mail OR newspaper services?

If no, who will be checking these?

*Will any animals be left in your yard or residence that might hamper POLICE or FIRE DEPARTMENT personnel in case of an emergency?

Special Instructions:

Confirm

Cancel

Police Chief

Jon Coulter

jcoulter@townofpantego.com

Police Captain

Sam Nance

snance@townofpantego.com

Main Menu

General Information

Staff Directory

Phone Numbers

817-274-2511

Fax: 817-617-3755

Emergencies: Dial 911

Location

2600 Miller Lane

Pantego,

76013

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Monday – Friday

8:00 a.m. to 5:00 p.m.