Vacation Check

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Please correct the field(s) marked in red below:

Please complete the form to request a vacation check.

Homeowner realizes that the Police Department and the City do not assume any liability for loss or damage to property during specified dates.

We do not conduct vacation checks at apartment buildings or condominium complexes.

Homeowner understands there is no guarantee that vacation checks will be done daily.

1
Your Name:
 *
2
Address for Vacation Check:
Street City State Zip Code
Address:
3
Your Cell Number:
4
Vacation Start Date & Time:
mm/dd/yyyy 00:00 AM or PM
Date / Time
5
Vacation Ending Date & Time:
mm/dd/yyyy 00:00 AM or PM
Date / Time
6
Will You Be Leaving Lights On?
Will You Be Leaving Lights On?
7
Will You Be Leaving a Radio On?
Will You Be Leaving a Radio On?
8
Is It OK To Enter The Back Yard?
Is It OK To Enter The Back Yard?
9
Are There Dogs In The Back Yard?
Are There Dogs In The Back Yard?
10
Emergency Contacts Name, Address, Phone Numbers, and Relationship
(Please Provide Two)
11
Do Emergency Contacts Have Key To Residence?
Do Emergency Contacts Have Key To Residence?
12
Name Of Alarm Company And Phone Number
13
Description Of Vehicle In Driveway & License Plate Number
(Note None If No Vehicles Should Be In Driveway)
14
Name Of Anyone Authorized To Be On Premises During Your Absence
(i.e. Gardner, Housekeeper, Pool Cleaner, Pet Sitter, Friend, Relative)
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