Vacation Home Check Request

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!

Name *

First

Last

Phone *

Email *

Your address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Municipality *

• Conewago Township
• Dover Borough
• Dover Township
• Franklin Township
• Heidelberg Township
• Jackson Township
• Manchester Township
• Manheim Township
• New Salem Borough
• North Codorus Township
• North York Borough
• Paradise Township

Date of Departure *

Date of Return *

Is the residence alarmed?

• Yes
• No

Does the residence have a light timer?

• Yes
• No

Location of the lights that have a timer or that are left on *

Describe any vehicles that will be left at the residence *

Emergency Contact

First

Last

Emergency Contact Phone Number *

Emergency Contact Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Is there any other information that we should know about your home?

Submit