Please fill in and leave for house sitter
House Sit For: ………………………………………………………………………………
Address: ………………………………………………………………………………………
Telephone: ………………………………………………………………………………….
Email Address: …………………………………………………………………………….
Date of Departure: …………………….. Time of Departure ………………..
Date of Return: ………………………… Expected Time of Return: ………..
Emergency Contact Numbers and Names:
Relative (Relationship)……………………………………………………………………………
Preferably a relative with knowledge of your insurance in the event of a mishap e.g. burst geyser
Friend: …………………………………………………………………………………………….
Neighbour: ……………………………………………………………………………………
Services used Name and Contact Person and No.
Pool Service: …………………………..…………………………………………………………
Electrician: ………………………….……………………………………………………………
Plumber: …………………………..………………………………………………………………
Veterinarian: …………………………………………………… Account ? Y/N
Garden Service: …………………………..……………………………………………………
Security Service………………………………………………………………………………..
Password ………………………………………… Code ……………………………………
NB! Please advise your security firm that you are holiday and give them the sitters name and cell no
Household Staff
Char Lady ………………………………………………………………………………………
When ……………………………………. Time ……………………………………….
Gardener ………………………………………………………………………………………
When ……………………………………. Time ……………………………………….
Special Instructions ……………………………………………………………………….
Pet Care
Name Food Time
1) ……………………… …………………………………….. …………………………….
2) ……………………… …………………………………….. …………………………….
3) ……………………… …………………………………….. …………………………….
4) ……………………… …………………………………….. …………………………….
General
Garbage Collection Day: ………………………………………………………………..
Do you have an electric gate Y/N? … If Y where is key for manual over ride
……………………………………………………………………………………………………………………………………………………..
Electricity Board? Where? …………………………………………………………………………..
Water Mains Where? …………………………………………………………………………………..
Electricity Meter? ………………………………………………………………………………………..
NB! If pay as you go: Please ensure that you top up meter with sufficient electricity
Further Special Instructions ……………………………………………………………………….. ……………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………….
If you have WiFi may we make use of it? Y/N …
If Yes what is the password: ………………………………………………………………………