E-Gov Services Miami Township

WARNING! You must submit this request AT LEAST 72 HOURS IN ADVANCE of your departure on vacation. Please do not use this form to to request the police to check you home on shorter notice; if it LESS THAN 72 HOURS please come to the Miami Township Police Department at 5900 McPicken Drive and fill out the form and speak with a representative of the Police Department personally. THANK YOU!!

Vacation House Check

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Purpose. This form is used to submit citizen requests to the Miami Township Police Department for on-premise checks of residencial homes while the owners are on vacation.

* Information is required.

Contact Information

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

* Date vacation check should begin

* Date Vacation Check should end

* Does the property have an Alarm System?

Alarm Company Name?

Alarm Company Phone

Who will have key and alarm code?

* Will there be lights on when you are gone?

If yes, location of lights?

If yes, time of day lights are on?

List any person/s permitted on the property and include their address and phone number

Vehicles in driveway and/or garage?

* Please provide a telephone number of where you can be reached in case of an emergency.

* Are there dogs in the house?

* Do you approve of the following authorization? I hereby authorize the Miami Township Police Department to take any action they deem necessary for the protection of my property during my absence. Further, I do not hold Miami Township Police Department nor the Miami Township Board of Trustees liable for any action taken. Finally, I agree to notify the Miami Township Police Department when I return home in order to prevent the risk of misidentification of myself and/or others

Yes

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Notes:

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

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