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Vacation Check Request
Leave This Blank:
VACATION CHECK REQUEST
Vacation checks are for two weeks. If you are gone longer, this request will become a “patrol frequently” and an officer will drive by your residence.
THE MADISON POLICE DEPARTMENT WILL NOT PROVIDE A VACATION CHECK.
IF SOMEONE IS CHECKING THE RESIDENCE, FEEDING PETS, WATERING PLANTS, ETC.
IF THE RESIDENCE IS AN APARTMENT OR HAS AN ALARM.
IF THE RESIDENCE IS FOR SALE AND HAS A LOCK BOX ON THE DOOR OR A REALTOR WILL BE SHOWING THE HOUSE.
Name
*
Home Phone
Cell Phone
*
Address
*
Location of street number on the house?
*
Email Address
*
House have an alarm?
*
No
Yes
Date leaving
*
Time
*
Date returning
*
Time
*
Vehicles at the home
Make / Model
Color
Year
Location of this vehicle
Make / Model
Color
Year
Location of this vehicle
Lights within the home
Lights left on in the house
*
Yes
No
Lights on a Timer?
Yes
No
Light location(s)
Animals at the home
Animals at the house?
Yes
No
Animals(s) bite?
Yes
No
Back yard fenced
Yes
No
Gate locked? (Officer will not climb over a fence)
Yes
No
What kind of animals?
Name of person caring for your animals
*
Home Phone
Cell Phone
*
Address
*
Local Emergency Contact
Name
*
Home Phone
Cell Phone
*
Address
*
Will this person have a key to your home?
Yes
No
Will this contact have a person number for you?
Yes
No
Created by the Law Enforcement Technology Coordinator
* indicates required fields.
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