Vacation Watch

If you will be out of town and would like the police to keep an eye on your house, please fill out the following form, or fill out a paper copy of the form at City Hall during regular business hours.

First Name*

Last Name*

Address Line 1*

Address Line 2*

City*

State*

ZIP Code*

Email Address*

Date Leaving*

Date Returning*

Phone number where you can be reached*

Home Phone Number

Name of Person with Key to home

Key Holder’s Phone Number

Are you leaving any lights on?*

Yes

If leaving lights on, are they on timers?

Yes

If leaving lights on, describe what rooms

Alarm company name

List the make and model of all cars in the driveway or garage

Any additional information we should be aware of