Vacation/Vacant House Registry

Leave This Blank:

Waiver,
I, the undersigned, affirm I am the owner of the property indicated and further agree to hold harmless the Village of Waunakee and the Village of Waunakee Police Department and its employees; acknowledging that by completing this form, I am requesting police check said property during my absence. Further, I affirm the property will be vacant during the times listed below.

I further acknowledge this form in no way binds nor implies the Waunakee Police Department will be responsible for the security and safekeeping of my property. I understand that if the Police Department finds an open door, officers will enter my residence and check it.

 
* indicates required fields.