Vacation House Check Form

If you will be going away for an extened period of time, please fill out the following information to request that the police department checks up on your house regularly.

House Information




Do you have an alarm system? Yes No
Do you have pets at this location? Yes No
Will lights be left on? Yes No


Will any cars be in the driveway? Yes No


Dates



Keyholder Information



Will the keyholder be staying in the house? Yes No

Updated on July 28, 2010