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A
A
Vacation Check Request
Leave This Blank:
Complete the following information and Sheriff's Department personnel will drive by your property while you are on vacation.
YOUR INFORMATION:
First Name
*
Last Name
*
Street Address
*
Address 2, if applicable
City
*
State
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Zip
Phone Number
*
Email Address
*
Preferred Contact Method
Do NOT contact me
Email
VACATION INFORMATION:
Date Leaving:
*
Do you have any lights on?
*
Yes
No
Please list location of lights, if you replied Yes.
Any vehicles in driveway or on property?
*
Yes
No
Please provide vehicle descriptions (including location), if you replied Yes.
EMERGENCY CONTACT INFORMATION:
Name
*
Address
*
Phone Number for Contact
*
Does Emergency Contact have a key?
Yes
No
Any other information that we should know?
* indicates required fields.
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