Request for Home Watch Service

Attention - Please note the following recommendations concerning the receipt of packages while you are enrolled in the monitoring program:

-To avoid any inconvenience, we ask you not to have any packages delivered in your absence.

-Packages larger than 30 cm x 30 cm x 30 cm (1 cubic foot) will not be picked up by our patrollers.

Thank you for your understanding and cooperation.

First name

Last name

Address

Residential phone

Cell phone

Email

Start date of the absence

Hour

End date of the absence

Hour

Yes

No

Name of the company handling the alarm system

Yes

No

The mail will be delivered upon presentation of a valid ID (driver's license or RAMQ card).

Name(s) of the authorized person(s) to collect mail

Yes

No

Details (Company Name/Frequency/Visit Hours)

Yes

No

Emergency contact

First Name and Last Name

Emergency contact number

Emergency contact email

Other emergency contact

First Name and Last Name

Emergency contact number

Emergency contact email

First car allowed on the premises (Brand/Model/Color/Plate)

Comes and goes

Must be on site at all time

Second car allowed on the premises (Brand/Model/Color/Plate)

Comes and goes

Must be on site at all time

Third car allowed on the premises (Brand/Model/Color/Plate)

Comes and goes

Must be on site at all time

Other relevant information

By checking this box, you acknowledge that you understand that this free service is an additional means of preventing property crime, but that it does not guarantee that property crime will not occur. This service also allows you to quickly notify an emergency contact in the event of an incident and thereby limit the consequences of such an incident by securing the residence as quickly as possible.

First Name and Last Name

Date

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