E-Gov Services City of Silverton

Property Protection Form (Vacation Check)

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Purpose. This form is used to request a property check by the Silverton Police Department while you are away from your property for an extended period.

* Information is required.

Contact Information

* First Name:
* Last Name:
Email:
* Daytime Phone:	() –
* Address:
* City:
* State:
* ZIP:

* Address of property to be checked.

* Leave date:

* Return date.

* Lights remaining on?

* If lights are left on, where (please be specific).

* Alarm System?

* Name, address & phone number(s) of primary emergency contact.

Name, address, & telephone number of alternate emergency contact.

Telephone number where you may be reached (if available).

Cell phone number.

* Vehicles remaining on property: Include make, year, license plate #, color and location.

* List anyone entrusted with keys/access to your property.

* List any weapon(s) stored on property.

Other pertinent information.

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.