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Vacation House Check
Online Submission



Please fill out this form if you'd like us to stop by your home while you're out of town. The form will go directly to the Police Department and you will receive both an automated return email and a confirmation email from the Records Section.  Please contact the Police Department at 937-667-3112 upon your return so we know you are definitely back.  Thanks and have a great trip.



Resident Information
First Name
Last Name
Address
Home Phone
Cell Phone
Email Address
Date Leaving
Date Returning  
Lights Left On
Vehicles at Residence
Keyholder Information
First Name
Last Name
Address
Phone
Will Be at Residence: Daily   Occasionally   Never
Other Information

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