Complete the following information and the police department will drive by your
property while you are on vacation.Due to lack of manpower and the inability to patrol as frequently as we would like, the Eagle Point Police Department will not be responsible for vandalism, burglary, or theft from the property on the Vacation Request form.

Citizens may request this department check the residence while the citizen is on vacation, however, the requests will be limited to a maximum of 21 days per request and no more than 42 days per calendar year per request.

HOMEOWNERS INFORMATION:

Name:*

Address:*

City:

State:

Zip:

Phone Number:*

Email Address:

Vacation Information

Date Leaving: (Notify this department immediately if departure or return times change)*

Date Returning:*

Do you have any lights on?*

Yes

No

Location of Lights:

Vehicles left on the property: Year, make, model, color

Persons authorized on property (lawn, pet care, pool, etc.)

Emergency Contact Information

Name:*

Address:*

Phone Number:*

Does Emergency
Contact Have Key?
Please provide name/phone number/vehicle*

Miscellaneous Information. Please include information, such as pets in yard/type, rear gate locked, mail stopped, newspaper stopped, etc.