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2. 

   
   

4. The vacation check does not guarantee that a burglary or other crime will not occur at the residence, and it is only intended to be a request for the officer to check the home periodically, based upon the availability of the officer or citizen volunteer. Consequently, it is recommended that you make every effort to safeguard against losses including securing of high value property, proper locking devices, alarm systems, etc. No vacation checks while the homeowner is gone from the home are guaranteed. No further police response or protection is being guaranteed by the vacation check other than the normal police service and protection, which is  provided to the general public.

   Please give us at least 3 days notice before you leave. We may need to ask for additional information.

   If you arrive home early from your vacation, you are responsible for contacting the police department right away. If you forget to contact the police department, an officer may arrive to check on your residence. Please be prepared to provide your identification to the officer if that happens.

6. Your information

8. First Name:
9. Last Name:
11. Address:
13. Phone Number:
14. Email Address:
16. Date Leaving:
    Date Leaving:

    Date Leaving:
17. Date Returning:
    Date Returning:

    Date Returning:

19. Emergency Contact #1

21. First Name:
22. Last Name:
24. Phone Number:

26. Emergency Contact #2

28. First Name:
29. Last Name:
31. Phone Number:

33. Premise Information

35. Keys Available?:

    1. Yes
    2. No
36. If yes, where and with whom?:
38. Animals?:

    1. Yes
    2. No
39. If yes, type and location?:
41. Person Caring for Yard?:

    1. Yes
    2. No
42. If yes, who?:
44. Cars in the Driveway?:

    1. Yes
    2. No
45. If yes, describe (color, make, model):
47. Lights Left on Timer?:

    1. Yes
    2. No
48. If yes, where?
50. Surveillance Camera?:

    1. Yes
    2. No
51. If yes, where?:
53. Additional Information:

55. By clicking submit, I agree to notify the Police Department immediately upon my return from vacation at 408-586-2400.

Leave This Blank:


57. Submit

* indicates a required field