Habersham County Sheriff's Office   1000 Detention Drive  ·  Clarkesville, GA 30523  ·  (706) 754-6666

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Look out Request Form
If you are going to be away, you can request extra checks of your home or business.  Simply fill out our Look Out Request Form or call our dispatcher at
706-754-6666 ext. 0.

Street Address:

 

City:

 

Name of Resident:

Name of person requesting look out:

Vacant from:

to

E-mail

 

Phone Number:

Emergency Contact Information for Resident:
(Address and phone number where you can be reached while away)

Emergency Contact Information for Key Holder:

Name:

 

Address:

 

City:

 

Phone number:

 

Special Considerations:

Any cars left in the driveway?  Yes No If yes, please complete the following:

Year:

Make:

model:

Color:

License plate:

 

Year:

Make:

model:

Color:

License plate:

Any lights left on in the house? Yes/ Steady Yes/ Timers No
 

Is your home equipped with an alarm system?  Yes No

if yes, Alarm Company Name:

phone number:

Will there by any contractors working at your home? 
Yes No   If yes, provide specifics in comments section.

Will there be anyone caring for your pets (at your home), if any 
Yes No  If yes, provide specifics in comments section.


Additional Comments


 

 

Habersham County Sheriff's Office
1000 Detention Drive Clarkesville, Ga. 30523
Phone: 706-754-6666 Fax: 839-7065
Questions? Comments? Please email the webmaster.