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Vacation House Check Form The San Ramon Police Department provides vacation house checks by sending an officer on random spot checks of your home while you are on vacation. This request is available for San Ramon residents only. Please complete the form below prior to your departure date.
You can also fax it to 925-830-0674 or contact us at 925-973-2700. Your Name ________________________________________________________________ Your Street Address ________________________________________________________________ Your E-mail Address ________________________________________________________________ Your Phone Number ________________________________________________________________ Local Emergency Contact (Name & Address)________________________________________________________________ Local Emergency Contact Phone Number ________________________________________________________________ Does Emergency Contact have a key? Yes No Date leaving ________________________________________________________________ Date returning ________________________________________________________________ Alarm? Yes No If yes, Alarm Company Name ________________________________________________________________ Alarm Company Phone Number ________________________________________________________________ Lights on timers? Yes No Hours?__________ Rooms?__________ Pets? Yes No Type? ____________________ Paper stopped? Yes No Mail stopped? Yes No Broken windows or screens? Yes No If yes, where? ___________________________________________________ House occupied? Yes No If yes, by whom? ________________________________________________________________ Vehicles on property or on street:Year _________________________________________________________ Make _________________________________________________________ Model _________________________________________________________ Color _________________________________________________________ License Plate Number & State ______________________________________ Please list additional vehicles in comments box below. Persons allowed on property Family:Mon Tue Wed Thur Fri Sat Sun Names/Details of subjects allowed on property ________________________________________________________________ Gardener: Mon Tue Wed Thur Fri Sat Sun Names/Details of subjects allowed on property ________________________________________________________________ Cleaning Service: Mon Tue Wed Thur Fri Sat Sun Names/Details of subjects allowed on property ________________________________________________________________ Others (Pool Service, Gardener, Pest Control, etc.): Mon Tue Wed Thur Fri Sat Sun Names/Details of subjects allowed on property ________________________________________________________________ Additional information ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ |
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