City of Lafayette Vacation House Check Request

Lafayette Police Department Vacation House Check Request

First Name *

Last Name *

Street Address *

Address Line 2

Cell Phone *

Additional Phone Number (optional)

Email Address *

Departure Date * +

Return Date * +

Who should we contact in case of emergency? *

My cell (listed above)

Other (Please list name, relationship, and phone number) Other (Please list name, relationship, and phone number)

Any Vehicles Left Out Front? *

None/Inside Garage

Driveway/Street (Please note which location and list vehicle make, model, and color) Driveway/Street (Please note which location and list vehicle make, model, and color)

Are Interior Lights Left On? *

Yes (Always)

Yes (Timer, please list hours below) Yes (Timer, please list hours below)

Will a House Alarm Be Set? *

Yes (Please list company below) Yes (Please list company below)

Will You Have a Gardener Coming By? *

Yes (Please list days of the week, morning/afternoon, and vehicle description if known) Yes (Please list days of the week, morning/afternoon, and vehicle description if known)

Will You Have Pool Service Coming By? *

Yes (Please list days of the week, morning/afternoon, and vehicle description if known) Yes (Please list days of the week, morning/afternoon, and vehicle description if known)

Will You Have a Housekeeper Coming By? *

Yes (Please list days of the week, morning/afternoon, and vehicle description if known) Yes (Please list days of the week, morning/afternoon, and vehicle description if known)

Are Side/Access Gates Locked? *

Yes

Gate Code (Optional):

Are Any Dogs Staying Home? *

Yes (Please note indoor/outdoor and list pet sitter contact if applicable) Yes (Please note indoor/outdoor and list pet sitter contact if applicable)

Any Other Information We Should Know?

Disclaimer

1. These vacation house checks do not prevent burglaries. Our aim is to provide you with peace of mind while you are away from your home, to deter burglars by providing a police presence in residential neighborhoods, and to increase our chances of solving the case should an incident occur. We recommend taking measures to deter theft such as locking all doors/windows, closing curtains, having lights on a timer, putting your mail on hold, informing your neighbors, setting alarms, and installing security cameras.

2. These vacation house checks are not guaranteed. We strive to check on your home regularly while you are away, but due to the nature of police work, we may have busy days where we cannot check on your home.

Please indicate your acknowledgement of the disclaimer *

I acknowledge the above information and would like to proceed with my request.

You will receive an email confirmation after clicking SUBMIT. If you need to make any changes, please submit another Vacation House Check Request or email us at 94549Tip@gmail.com

Thank you and have a safe trip!