Vacation Watch — Roachdale Police Department

Roachdale Police Department offers special patrols for residents who are leaving their homes for an extended time. If you are leaving for vacation or will be away from your residence for an extended time frame please feel free to submit the below form to the police department. We will put your residence on our special patrol list and notify you if any issues are observed.

*Please be advised this service is not a guarantee that your home or property will be protected from any crime or natural disasters.

Please submit forms to the police department at least 24 hours in advance prior to departure.

Vacation Watch

Name

First Name

Last Name

Street Address

Emergency Contact Number

(###)

###

####

Date Leaving

YYYY

Date Returning

YYYY

Will anyone have a key to the house?

If Yes, please list names and contact numbers for them;

Will anyone be entering your residence?

If Yes, please list names of who;

Will there be any lights on in the residence?

If Yes, where;

Will there be any vehicles in the driveway?

If Yes, please give vehicle description and if possible license plate information;

Any loose animals in the residence?

Dogs

Cats

Birds

Other

If other, please describe

If there are concerns of criminal activity taking place or an emergency situation at your residence, do you give us permission to make entry into the residence, by using the least intrusive manner possible, prior to making contact with you?

Is there any additional information you feel we should know?