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Copyright © 2001
P.O.A.S.C.
All Rights Reserved
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Please fill out the following form in order to alert the POASC Office and Security that you will be away from your property for a period of time. Then click on the SUBMIT FORM button to transmit. If you change your mind or make a mistake you can click on the CLEAR FORM button and exit or start over.

Items marked by an asterisk (*) are required fields. Submissions with these fields blank will not be accepted.

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*NAME:
*LOT NO.:
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*ADDRESS:
(Where staying)

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*EMER. PHONE:
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*DEPARTURE DATE:
*RETURN DATE:


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LIGHTS ON:

*RESIDENCE?
*OUTSIDE LIGHTS?
*MOTION LIGHTS?
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(Enter Yes or No)




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VEHICLES:

*IN DRIVEWAY?
*IN CARPORT?
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(Enter Number in Each)



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KEYS LEFT WITH:

NAME?
ADDRESS?
PHONE?
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YARD WORK BY:
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