Vacation Check Request

Departure Date

Departure Time

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

Occupant Name

Name

Address

City

Zip

Phone Number

Email Address

Vacation Information

Date Returning

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 gardner come to the residence?
Yes No

If yes, Name of the Gardner:

Residence Schedule:

Does pool care come to the residence?

Yes No

Residence Schedule:

If yes, Name:

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

Is it okay to go into the backyard?
Yes No

Is there a dog in the backyard?
YesNo

Is a radio left on inside?
YesNo

Do you have any lights on?
YesNo

Location of Lights:

Any Vehicles in Driveway?
YesNo

Vehicle Descriptions:

Emergency Contact Information

Name: (Emergency Contact)

Address*

Phone Number:*

Does Emergency Contact Have Key?*
Yes No

Will someone be picking up packages/papers?
YesNo

Phone Number where you can be reached:

Comments/Special Instructions

or Reset

Under Georgia law, emails sent through a government entity are public records and subject to disclosure in accordance with the Open Records Act. If you do not want your email address and any related email content released in response to a public records request under this law, do not send electronic mail to this entity. Instead, contact this institution by phone or in person.

Vacation Check Request

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