Vacation House Check Form
URBANDALE POLICE DEPARTMENT
3740 86th Street PH:515-278-3938
Vacation House Check
Name:
Address:
Email:
Leaving Date:
Returning Date
A key was left with
Key Holder's Telephone Number
Cell Phone:
Is mail stopped?
Yes
No
Are Lights left on?
Yes
No
Is the garage locked?
Yes
No
Any vehicles left on the driveway?
Yes
No
If Yes How many?
Does your residence have an alarm system?
Yes
No
Company:
Comments:
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