Vacation House Check Request Form

The vacation house check is a service that is provided by the Police Department.  When you are on vacation for multiple days, the COPPs  (Citizens on Preventive Patrol) will do a security check on your residence.  This involves a periodic drive-by of your residence to check for conditions that may appear out of the ordinary.  This does not guarantee that a residence will not be vandalized or broken into; it is a reassurance program to better pinpoint a time of occurrence if your home is criminally violated. 

Please complete the Vacation House Check Form below at least one week prior to your absence; it will be submitted electronically to the Beavercreek Police Department.  If you are leaving within one week, call 426-1225 to schedule a check.  You may also print out and drop off the form at the Department's communications window or mail it to the Beavercreek Police Department (1388 Research Park Drive, Beavercreek, 45432).  Your residence will automatically be removed from our house check list on the date you provide.  If you return early or late please contact the communications center at (937) 426-1225 so the date adjustment can be made. 

Today's Date: 

Name:  
Address:  
Home Phone Number:  
Cell Phone Number:  

Vacation Start Date: 
Vacation End Date:  


Emergency Contact Information

Name:  
Home Phone:  
Cell Phone:  

Name:  
Home Phone:  
Cell Phone:  

Name:  
Home Phone:  
Cell Phone:  


Describe any vehicles that are left in the driveway (if any), including make and model, color, license plate number, etc.

Provide names of anyone who will be stopping by to pick up newspapers or mail, water plants, take care of pets, etc.

Will you leave any lights on inside or outside your home?  Which ones?

Do you have a burglar alarm?  Yes    No

Do you have any service people or companies who will be at your residence?  If so, what days?

Any other information (animals on premises, etc.)?


We will automatically take your residence off of our house check list on the date you provided.  If you return early or late from your vacation, please contact the Communications Center at 937-426-1225 so we can note the adjustment.

 

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