Please fill in and leave for house sitter
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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: ……………………………………………………………………………………
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Services used Name and Contact Person and No.
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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
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Char Lady ………………………………………………………………………………………
When ……………………………………. Time ……………………………………….
Gardener ………………………………………………………………………………………
When ……………………………………. Time ……………………………………….
Special Instructions ……………………………………………………………………….
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Pet Care
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Name Food Time
1) ……………………… …………………………………….. …………………………….
2) ……………………… …………………………………….. …………………………….
3) ……………………… …………………………………….. …………………………….
4) ……………………… …………………………………….. …………………………….
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General
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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: ………………………………………………………………………