The New­town Police Depart­ment has put together a Vacation/Holiday/Away Noti­fi­ca­tion form for you, our res­i­dent. This form should be used to let the police depart­ment know when you are out of town for any extended length of time. Please be advised the police depart­ment is not assum­ing respon­si­bil­ity for your prop­erty but they will do the best they can to check on it occa­sion­ally and act if they find some­thing sus­pi­cious.

 

Vaca­tion Check­list Adobe PDF Icon
Going to be out of town for a few days on vaca­tion or busi­ness? Make sure you read this check­list on bur­glary pre­ven­tion before you leave.

 

Vacation/Holiday/Away Noti­fi­ca­tion

First Name:
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Last Name:
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Street Address:
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E-Mail:
Please enter your email address in the cor­rect for­mat

Home Phone:
Please enter your home phone num­ber in the fol­low­ing for­mat XXX-XXX-XXXX.

Cell Phone:
Please enter your cell phone num­ber in the fol­low­ing for­mat: XXX-XXX-XXXX

 
Date Leav­ing:
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Date Return­ing:
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Light Left on in home?
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If “yes”, are lights on timers?
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Des­ti­na­tion Infor­ma­tion
Please pro­vide us with your des­ti­na­tion:
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Des­ti­na­tion Phone Num­ber:
Please enter your phone num­ber in the cor­rect for­mat — Coun­try Code + Local Num­ber of your des­ti­na­tion

Add Coun­try Code if leav­ing the USA.

Des­ti­na­tion Cell Phone:
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Vehicle(s) Left At Res­i­dence Infor­ma­tion
Will any auto­mo­biles be left at home in the dri­ve­way?
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Year of Vehi­cle #1:
Please enter the model year of vehi­cle #1 (i.e. 1978)

Make of Vehi­cle #1:
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Model of Vehi­cle #1:
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Color of Vehi­cle #1:
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License Plate of Vehi­cle #1:
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License Plate State for Vehi­cle #1:
Please use the two let­ter abbre­va­tion for the license plate state.

 
Enter Infor­ma­tion For Vehi­cle #2
Year of Vehi­cle #2:
Please enter the model year of vehi­cle #2 (i.e. 1978)

Make of Vehi­cle #2:
Please enter the make of vehi­cle #2

Model of Vehi­cle #2:
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Color of Vehi­cle #2:
Please enter the main color of vehi­cle #2

License Plate of Vehi­cle #2:
Please enter the license plate num­ber for vehi­cle #2

License Plate State for Vehi­cle #2:
Please use the two let­ter abbre­va­tion for the license plate state.

 
Enter Infor­ma­tion for Vehi­cle #3
Year of Vehi­cle #3:
Please enter the model year of vehi­cle #3 (i.e. 1978)

Make of Vehi­cle #3:
Please enter the make of vehi­cle #3

Model of Vehi­cle #3:
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Color of Vehi­cle #3:
Please enter the main color of vehi­cle #3

License Plate of Vehi­cle #3:
Please enter the license plate num­ber for vehi­cle #3

License Plate State for Vehi­cle #3:
Please use the two let­ter abbre­va­tion for the license plate state.

 
Enter Infor­ma­tion About the Per­son Watch­ing Your Res­i­dence While Away
Name of Per­son Check­ing on Home:
Please enter the full name of the per­son check­ing on your home

Phone Num­ber for Per­son Check­ing on Res­i­dence:
Please enter the phone num­ber, for­mat XXX-XXX-XXXX

Street Address of Per­son Check­ing on Res­i­dence:
Please enter a valid address for the per­son that will be check­ing on the res­i­dence.

Does this per­son have keys to the res­i­dence?
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Does this per­son have the alarm code to the res­i­dence?
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Alarm Com­pany Name and Phone Num­ber
Please enter the name and phone num­ber of the larm com­pany for your res­i­dence

Please add any addi­tional com­ments or infor­ma­tion about your away noti­fi­ca­tion
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This area is for any addi­tional com­ments or infor­ma­tion about your away noti­fi­ca­tion

Prove that you’re human
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