Douglas County Washington
Sheriff's Office Housewatch Security Check Form

Please complete this form if you would like the Sheriff's Office to routinely check your residence in your absence. Submitting this form will send an email to the Douglas County Sheriff's Office.

DO NOT USE THIS FORM TO REPORT CRIMINAL ACTIVITY. IF YOU HAVE AN EMERGENCY PLEASE DIAL 911.

Name *
Address *
Address (cont)
City *
Cell Phone Number
Home Phone Number *
Work Phone Number
Date of Departure *
Date of Return *
Email Address
Have you left keys with anyone?     
Name of Person with Keys
Address of Person with Keys
Address (cont)
City
Cell Phone Number
Home Phone Number
Work Phone Number
Emergency Contact Information
Name
Address
Address (cont)
City
Cell Phone Number
Home Phone Number
Work Phone Number
Copy to Self (Email needed above) (Checked = Yes)
 
  
 
* = Required