180 East Center Street
Shavertown, PA 18708-1514
(570)696-3809 • (570)696-3411 Fax

HOUSE WATCH REQUEST

This form may be downloaded from this site, requested from the Administrative Office to be faxed, emailed, mailed, or you may come into the Office to pick up a copy. This form must be SIGNED and returned to the Office either in person, faxed, emailed or mailed. please call the Office with any questions.
180 East Center Street
Shavertown, PA 18708-1514 (570)696-3809 • (570)696-3411 Fax
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