Please fill in the form to request 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. Homeowner understands there is no guarantee that vacation checks will be done daily.

Required fields are marked with an asterisk ( * ) * Your Name: Your Phone Number: (if different from the location Phone) (123) 456-7890 * Vacation Check Address: Street City State Zip Code * Premises Phone Number: (123) 456-7890 * Starting Date & Time: mm/dd/yyyy 00:00 AM or PM * Ending Date & Time: mm/dd/yyyy 00:00 AM or PM Have you stopped the mail and/or newspaper(s) or made arrangements for someone to pick them up? * Mail/Newspaper Action: --Select One--Not Stopped Stopped Picked Up If pick up, whom? Will you be leaving lights on timers or for the entire time? * Lights: --Select One-- No Lights Lights on Timers Lights On Full Time If timers, what hours? Is there a pool or Jacuzzi at the location? Pool/Jacuzzi? Yes No Any pets at the residence while you are gone? * Pets --Select One-- No Pets Pets Indoors Pets Outdoors If pets, what type? Is there a person we can contact in case of an emergency at the residence? Contact? Yes No Contact Name: Contacts Address: Street City State Zip Code Contacts Phone Number: (123) 456-7890 Do They Have a Key? Yes No Is there anyone authorized to be at the location while you are gone? (Inc: pet sitters, gardeners, maids, pool people, etc.) Authorized Visitors? Yes No If Yes name, relationship to you and dates they will be there Alarm System? Yes No If Yes who monitors it and how do we contact them Please enter the word above in the text box below.