Patrol Request / Vacation House Check

You can also download and complete this form by clicking here.  You can then fax, mail, or turn in the completed form to the: San Ramon Police Department at 2401 Crow Canyon Rd., San Ramon, CA 94583. Fax: (925) 838-2925. You may also email a completed form to: srpdvacationchecks@sanramon.ca.gov

*REASON FOR REQUEST:   Patrol Request   Vacation House Check   Other  

BEAT #   

*Resident:  

*Email Address:  

*Address:   

*Telephone #  

*Location:  

*Start Date:    *End Date:  

Emergency Contact Name & Telephone #:  

Emergency Contact Address:  

Do they have a key?   Yes   No

House Alarmed?   Yes   No

Alarm Company:  

Monitored Alarm?   Yes   No

Lights on a timer?   Yes   No    
Hours?      Rooms?  

Pets?   Yes   No    Type?  

Paper Stopped?   Yes   No

Mail Stopped?   Yes   No

Vehicles on property or street?   Yes   No

Vehicle Description:

Year:    Make:  

Model:    Lic Plate:    Color:  

Second Vehicle:

Year:    Make:  

Model:    Lic Plate:    Color:  

Third Vehicle:

Year:    Make:  

Model:    Lic Plate:    Color:  

Is there a gardener, pool service, house cleaning or anyone else that will be at the location?

Additional concerns or information the officer’s should know about?

Security Measure

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