Washington County Forms

2. Vacation Check Request

   If you live within city limits, please contact your local police department to request this service.

4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Best Phone Number to Contact If Needed*
16. Email Address
18. When do you want to start and end this service?*
    When do you want to start and end this service? Start Date

    When do you want to start and end this service? Start Time

    —

    When do you want to start and end this service? End Date

    When do you want to start and end this service? End Time
20. Has mail been cancelled?

    1. Yes
    2. No
21. Have newspapers been cancelled?

    1. Yes
    2. No
22. Are lights on timers?

    1. Yes
    2. No
24. Vehicles on site? (make/model/registration)
26. Local Contact Name
27. Local Contact's Phone Number
29. Alarm Company Name
30. Alarm Company Phone Number
32. Agreement*

    The Homeowner realizes that the Washington County Sheriff’s Office does not assume any liability for loss or damage to the property during the specified dates. The homeowner also understands that there is no guarantee that the vacation home checks will be done daily.

    1. I Agree
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field