Vacation Check Request

Complete the following information and the police department will periodically drive by your property while you are on vacation.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email

Date Leaving

Date Returning

Do you have any lights on?

Yes

No

Location of Lights

Any vehicles in the driveway?

Yes

No

Vehicle Descriptions

Additional Details

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Does your emergency contact have a key?

Yes

No