House Check Request

The House Check Request program is designed to give residents of Lake Angelus a piece of mind when they are away from their home for an extended period.

Name

Cell Phone Number

Email Communications will be sent to the email provided.

Address

City/Town

State/Province

ZIP/Postal Code

Date Leaving

Date Returning

Do You Have Any Alarm Systems

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Name (#2)

Emergency Contact Phone Number (#2)

Do You Have Lights On?

Are Lights on a Timer / Provide Light Locations

Authorized Person(s) and/or Guests While You Are Away:

Any Additional Information?