Vacation Home Check
Frequency of home checks is dependent on officer availability and will be logged when completed. You must reside within the municipality of Mead for eligibility. This is an official form. Completing this fraudulently may be a criminal offense. Only complete this form if you have the legal authority to request a Vacation Home Check.
Your Contact Information
Tell us how we can contact you before, during, and after your vacation.
Name
*
First Name
Last Name
Email
*
Mobile Phone Number
*
Provide your mobile phone number
Format: (000) 000-0000.
While on vacation I will have the following access [check all that apply]:
*
Texts on the above phone
Calls on the above phone
Email
Other
I am providing consent for Mead PD to be on the exterior of my property, to include any fenced areas. (This does not allow entry to any locked areas or the inside of your home).
*
Yes - Mead PD has permission to be on my property
No - Mead PD does not have permission to be on my property. Checks will only be conducted visually from the street.
Home Location
What is the address you would like checked while on vacation?
Address
*
Street Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Vacation Duration
Provide the dates and times you will be away from your home.
Date and time you will be leaving your home
*
-
Month
-
Day
Year
Date Picker Icon
Hour Minutes
AM
PM
AM/PM Option
Date and time you will be arriving back home
*
-
Month
-
Day
Year
Date Picker Icon
Hour Minutes
AM
PM
AM/PM Option
Home Details
Provide additional information to assist us while you are away.
Will you leave any lights on at your home [check all that apply]?
*
Yes
No
Describe the lights [check all that apply]:
*
Interior
Exterior
Timer
Motion
Do you have an alarm system and/or video surveillance?
*
Yes
No
Will any cars be parked in your driveway?
*
Yes
No
List any car(s) that will be parked in your driveway. Include those of anyone checking your home. Do not list cars parked on the street.
*
Rows
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
License Plate
Make
Model
Color
Pets may be outside (if you have someone at your house from time-to-time):
*
Yes
No
I have a house/pet sitter:
*
Yes
No
House/Pet Sitter Information:
*
First Name
Last Name
House/Pet Sitter Information
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is there someone we can contact locally while you are away?
*
Yes
No
Local Contact
Provide this information if there is a local contact person while you are away.
Name
*
First Name
Last Name
Mobile Phone Number
*
Provide a mobile phone number
Format: (000) 000-0000.
Additional Information
Provide more details you think may be helpful in the space below.
Helpful information we may have forgotten to ask:
Provide additional information that may help us complete the home checks.
Print
Submit
Should be Empty: