Vacant Home or Business

Vacant Home or Business Form

Municipality: Avon-By-The-Sea

* Indicates required field

Location Type *

Residence Business

Name *

First

Last

Complete if this is for a business *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Phone Number *

Secondary Phone Number *

Email *

Date of Departure *

Vehicles left in Driveway? List all and describe *

Person(s) allowed in residence or business? *

Date of Return *

Lights or other on timer? Please list and describe *

Weapons / Animals? Please list and describe *

Alarm Company Name and Phone *

Name and Number of those who know how to reset the alarm code *

Name *

First

Last

Phone Number *

Address *

Would you like the police to make physical checks while you are away? *

Yes No

OFFICE USE ONLY

Received By *

Operator # *

Date *

Verified *

Submit