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VACATION HOUSE CHECK
 
  Vacation House Checks are a service provided by the Keene Police Department to city residents who are away from home for vacation.  After filling out and submitting the form below, officers will attempt to stop by at random times to check your home, and will contact you or your emergency contact person to report anything out of the ordinary.

This service is not provided for homes that are for sale or vacant.

Provide answers to the questions below, then click the submit button at the bottom of the page.  Your request for a vacation house check will be submitted to the Keene Police Department.

Your residence must be within the city limits of Keene for this request to be accepted.
 
     
 
Fields marked with an asterisk (*) are required.

* Your Last Name:


* Your First Name:                         * Your Date of Birth
        


* Your Street Address:


* Your City:                                     * Zip:
   


* Your Phone Number(s):  (For contact while you are away)
    

* Your Email Address:


* DATE & TIME LEAVING:
Date     Time

* DATE & TIME RETURNING:
Date     Time

Person in Charge:


Street Address, City, State:


Phone Numbers:
    

Does the Person in Charge have a key to your residence?  Yes  No


Will any lights be left on?   Yes  No    If Yes, please explain which rooms, if on timers, or if on at all times.


Vehicles left at residence:
  (Include Description, Color and License Plate number)
 
 Lic.#
   Lic.#

   Lic.#

Will there be any Pets left on the property or in the house?  Yes No
If yes, please describe what and where:


Does your house have an alarm system?  Yes No
If yes, please list alarm company name and phone number:


Will your Mail be:   Delivered   Stopped   Picked up   N/A

Will your Newspaper be:  Delivered  Stopped  Picked up 
N/A

Other Details:  (Pool, Yard Work, House Cleaning, etc.)




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