Form Center

2. We would like to conduct extra patrols by your home or property while you are on vacation. Please complete the below form and we will forward it to our patrol officers.
4. 
   
6. Disclaimer
8. The Valley Center Police Department makes no guarantees that your home will not be vandalized and/or burglarized while you are away. We will, however, make every effort to complete regular checks of your home as time and call load permit. *

   1. I have read and understand this disclaimer
10. 
    
12. Contact Information
14. Name: (your full name)*
16. Address:*
18. City:*
20. State:*
22. Zip:*
24. Phone Number:*
26. Cell or Alternate Number:
28. Email Address:
30. 
    
32. Vacation Information
34. Date Leaving:*
36. Date Returning:*
38. Do you have any lights on?*

    1. Yes
    2. No
40. Are the lights on a timer?*

    1. Yes
    2. No
42. Location of Lights:
44. Any Vehicles in Driveway?*

    1. Yes
    2. No
46. Vehicle Descriptions:
48. 
    
50. Emergency Contact Information
52. Name:*
54. Address:*
56. Phone Number:*
58. Cell or Alternate Number:
60. Does Emergency
    Contact Have Key?*
62. 
    
64. Miscellaneous Information
66. Please write any other important information here:
Leave This Blank:


68. Submit

* indicates a required field