Vacation House Check

Please fill out this form.

  • Location of Check

  • Departure Information

  • Requester Information

  • Alarm/Security System Information

  • (where?)
  • (where?)
  • (describe)
  • (Full description)
  • (relatives, neighbors, etc. Please provide name, address and phone number if not listed as an emergency contact)

  • Emergency Contact # 1

  • Emergency Contact # 2

  • Reference Number

    (This number is of your choosing. It is important that you keep this number safe. You will need this number if you return home early or want to extend the security check)
  • By submitting this form, I am requesting the Duluth Police Department to keep a security check on the premises listed above. I understand that police officers will check my premises as time and workload permit. I also understand that the Duluth Police Department makes no guarantee that crimes will not occur at the location while this security request is in effect. I also understand that I have furnished a reference number of my choice, and that I must call the Duluth Police Department if I return early or wish to extend this request, and furnish that number.