The NYCRPD offers a free service for all residents when they are away from their homes on vacation. The NYCRPD will conduct periodic home checks to insure that your home is secure while you are away. Please complete the following form and call 911 when you return home to cancel the home check.

Relax and enjoy your vacation!

Last Name

First Name

Resident’s Address



Resident’s telephone number (10 digit)

Date of departure

Date of return

Emergency contact – Name

Emergency Contact Address

Emergency Contact Phone Number (10 digit)

Is the residence alarmed

Does the residence have a light timer system or will lights be left on

Location of lights that will be left on or on timer

Describe any vehicles that will be left at residence

Is there any other information we need to know about your home

Special Instructions

Please enter the following exactly as it appears
Please enter the following exactly as it appears