Galt Police Department
Residential Security Check Form
While you are away on vacation or extended leave, you can request that extra attention be given you home.  Due to the fluctuations in calls for service and staffing levels we are unable to guarantee a level of service on vacation house checks and in some cases, we may be unable to provide this service.  

You can also request this service by either calling 366-7000 or come into the Police Department and we will gladly assist you in filling out the necessary information.
Name
Email Address
Address
City
State
Zip
Phone - Please Include Area Code
Date of Departure
Date of Return
Time of Departure
Time of Return
Do You Have An Alarm System?
Name of Alarm Company
Phone Number of Alarm Company
If your lights on, are they on a timer?
Will there be lights on?
If on, do your lights stay on, come on automatically, or at randum times?
Have you stopped your mail?
Have you stopped your newspaper?
Do you have lawn service?
If you have lawn service, what day of the week?
If you have windows that are left unsecured, please describe their location here  -------------------------->
Are all of your windows secure?
Vehicles That Should Be At Your Home
Year
Make
Model
Color
VEHICLE 1
Where is it parked?
VEHICLE 2
Year
Make
Model
Color
Where is it parked?
IN CASE OF EMERGENCY
Who can we call if we find something wrong at your home?
Name
Address
Home Phone
Work Phone
Others who are authorized to have access to you home during your absence
Name
Phone
1
2
Name
Phone
3
Name
Phone
PETS
Are there any pets left at home?
If pets are at home, please describe them and the  person responsible for taking care of them.
Is there anything else we should know that has not already been asked?
HAVE A NICE VACATION!
When everything has been completed, press SEND to send the information to the Galt Police Department.
LAST STEP!!