Vacation Check Request

2. Vacation Check Request
   This security check service in no way guarantees that your property will be safe from vandalism or burglary, but merely provides the Sheriff's Office with information on your whereabouts and contact information if a crime were to occur. Every effort will be made to check on your property as time and calls for service allow.

   This security check service in no way guarantees that your property will be safe from vandalism or burglary, but merely provides the Sheriff's Office with information on your whereabouts and contact information if a crime were to occur. Every effort will be made to check on your property as time and calls for service allow.

3. 

5. First Name*

6. Last Name*

8. Home Address

10. City / County

11. State

12. Zip

14. Phone Number*

15. Email Address

17. Date Leaving*
    Date Leaving

18. Date Returning*
    Date Returning

20. Does your home have an alarm system?

    1. Yes
    2. No

21. Are pets inside the residence? If so, describe.

23. Will you have any lights on?*

    1. Yes
    2. No

24. Location of Lights

26. Are any vehicles in driveway?*

    1. Yes
    2. No

27. Make/Model/Color of vehicles at your residence

29. Provide Name and Reason of anyone who will be working in or around the premises while you are away

31. Destination Address

33. Emergency Contact Information

35. Name*

37. Address

39. City

40. State

41. Zip Code

43. Phone Number*

44. Does your emergency contact have a key?

    1. Yes
    2. No

46. Additional Information

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field