Community Watch

419.933.2581

WILLARDOHIO.GOV

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Development
Resources
Community

Willard Police Department
"Dedicated to Providing a Safer Community"

Name & Address of Watch Location Date/Time & Watch Type

Name *

First

Last

START DATE *

START TIME *

* Indicates required field

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

END DATE *

Select One *

END TIME *

Contact Information (Person who should be contacted while you are away)

PRIMARY CONTACT *

Phone Number *

SECONDARY CONTACT *

Phone Number *

KEY HOLDER *

YES NO

KEY HOLDER *

YES NO

Property Information (Select all that apply)

Authorized Vehicles On Site

LIGHTING INFO *

FRONT BACK SIDE FIRST FLOOR SECOND FLOOR BASEMENT BATHROOM BEDROOM KITCHEN LIVING ROOM LIGHTS ON TIMERS NO LIGHTS WILL BE LEFT ON

SPECIAL INFORMATION *

ALARM SYSTEM MAIL STOPPED NEWSPAPER STOPPED PETS ON SITE NONE

MAKE VEHICLE #1 *

MODEL VEHICLE #1 *

COLOR VEHICLE #1 *

LICENSE PLATE VEHICLE #1 *

LICENSE PLATE STATE VEH #1 *

MAKE VEHICLE #2 *

MODEL VEHICLE #1 *

COLOR VEHICLE #1 *

LICENSE PLATE VEHICLE #2 *

LICENSE PLATE STATE VEH #2 *

PROVIDE ANY ADDITIONAL INFO HERE *

Submit

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