Enter a House Check
Subdivision:
Owner's Name:
Address:
City:
Zip Code:
Phone:
Date Leaving:
Time Leaving (hh:mm):
Date Returning:
Time Returning (hh:mm):
Address While Away:
Phone while away:
Person in Charge:
Person in Charge Address:
Phone:
Alt Phone:
Does this person have a key?	Yes No
Will anyone visit the house when the owner is away?	Yes No
If yes, who?
List any vehicles left on the property:
Are there any dogs on the premises?	Yes No Inside Outside
Other animals?	Yes No

		On Timers?
Will lights be left on inside?	Yes No	Yes No
Will lights be left on outside?	Yes No	Yes No
Will TV or Radio be left on?	Yes No	Yes No
Is there an alarm system?	Yes No

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