Request for Vacation Check
Location of Check:
Departure Date: Return Date:
Destination:
Requesting Persons Information
Name:
Address:
People Allowed on Property During Your Absence
Pets on Property: Yes No
Animal types and demeanor (Friendly, aggressive, protective, etc.)
Alarm System Installed: Yes No Alarm Company & Phone #
Vehicles on Property
Color/Year/Make/Model/License:
Local Emergency Contact / Keyholders
Name/Address/Phone #
Disclaimer
The Escalon Police Department assumes no liability should theft or damage occur to your property. Security/Vacation Checks are performed as a courtesy and only as time permits. You should have mail and newspapers picked up or stopped while on vacation; as well has having someone take care of pets, lawn, gardening, etc.
I have read and agree to the above:
I request a security check be made of my premises and agree to notify the Escalon Police Department of my return. I have read and understand the above.
Signature (Type Name):
Date: