We will check your residence several times daily while you are out of town. House checks are performed free of charge to City residents while away on vacation or business. Request forms are also available at our offices or by filling out the following online form.

All information is held in complete confidence and will not be released for any reason

Residence Information

Occupant Name:*

Address:*

City:*

Phone Number:*

Email Address:

Trip Information

Departure Date:*

Departure Time:

Return Date:*

Return Time:

Residence Activity

Is there an alarm at the residence?

Yes

No

If yes, could the alarm go off if doors are checked?

Yes

No

Are door screens unlocked? (Screens should be left unlocked so doors can be checked)

Yes

No

Are any windows intentionally left open?

Yes

No

Does a gardener come to the residence?

Yes

No

If yes, Name of the Gardener:

Residence Schedule:

Does pool care come to the residence?

Yes

No

If yes, Name:

Residence Schedule:

Does a maid or animal sitter come to the residence?

Yes

No

If yes, Name:

Residence Schedule:

Are the gates to back yard locked?

Yes

No

Will someone be picking up packages/papers?

Yes

No

Is it okay to go in the back yard?

Yes

No

Is there a dog in the yard?

Yes

No

Is a radio left on inside?

Yes

No

Are lights left on inside?

Yes

No

Number of vehicles parked at residence:

Emergency Contact Information

Name:

Address:

City:

Zip Code:

Home Phone Number:

Work Phone Number:

Does the contact person have a house key?

Yes

No

Phone number where you can be reached:

Comments/Special Instructions