Request for Property Check During Vacation

PROPERTY TO BE CHECKED

Resident Name

Residence Address

City     State     Zip Code

Email Address

Home Phone Number Cell Phone Fax Number

DATES YOU WILL BE AWAY: Leaving on    Returning on 

IS YOUR RESIDENCE ALARMED NO YES

                           WHAT TYPE OF ALARMS DO YOU HAVE...

                                Burglary        Fire        Panic        Other

WILL ANY LIGHTS BE ON TIMERS..? NO YES

    If so where in the house are the lights

        What time do they come on What time do they go off

WILL THERE BE ANY VEHICLES PARKED IN YOUR DRIVEWAY DURING YOUR VACATION.? NO YES

    Description of Vehicles

 Who will be watching your house while you are away..

Name

Address

Phone Numbers (Home) (Cell)

                Does this person(s) have a key to your residence NO YES

                    Does this person(s) have the code to reset you alarm NO YES

Additional Information

Submit this form at least 5 or more days from the date you are leaving for vacation . If you are leaving in less than 5 days please call the Police Department and give the information to our Administrative Staff at 610-362-7401 during regular business hours. Thank You and have a nice vacation.