HOUSE CHECKS

	Red Bluff Police Department
	Vacation House Checks

If you live within the Red Bluff City limits, and you are going to be out of town, and would like the Red Bluff Police Department and S.T.A.R.S. volunteers to check your residence, please fill in the form below.

Residence Information:

Resident's Name:
Address:
Date Leaving:
Date Returning:
Alarm:                             Yes     No
Mail Stopped:                 Yes     No
Pets:                                Yes     No
House Occupied:           Yes      No
If yes, by whom:
Paper Stopped:             Yes     No
Lights on Timers:            Yes     No

Persons allowed on property:

Gardener: MON TUE WED THUR FRI SAT SUN

Names/Details of subjects allowed on property:

Cleaning Service: MON TUES WED THURS FRI SAT SUN

Names/Details of subjects allowed on property:

Family: MON TUE WED THURS FRI SAT SUN

Names/Details of persons allowed on property:

Others: MON TUE WED THURS FRI SAT

Miscellaneous Information:

Emergency Contact:
Emergency Phone:
Alarm Company Name:
Alarm Co. Phone Number:

Your E-mail address: (required)

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