Leimert Neighborhood Watch

Vacation Checks Form

SAN LUIS OBISPO COUNTY SHERIFF'S DEPARTMENT

   HOUSE/VACATION/PATROL CHECKS

Set up at: 528-6083   M-F, 8 to 5

Name:

Phone Number:

Address:

Dates of Absence:           From:  Day                 Date

                                            To:   Day                 Date

Emergency Contact:   Name

                                     Phone Number

Do they have a key to the Property?      (   )  Yes               (   )  No

Vehicles (License Number) or Persons permitted on the Property during your absence:

Special characteristics of your Property (i.e.: alarms,lighting,dogs,or other animals on the Property)