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.
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