Bandon Police Vacation House Check

Travel Dates
If you return BEFORE the listed date, Please call 541-347-2241
Home Owner / Resident Information
Property Information
Address Visible on House
Any Outbuildings
All Doors and Windows Locked
Do Locked Gates Prevent Access
Does Anyone Have Keys to House/Business/Gate
Lights or Radio Left On
time on
:
time off
:
Pets on Property
Alarm Installed
Mail, Deliveries, Newspaper Stopped
Vehicles Left Visible on Property
Yard/Pool Services
Anyone Else Checking on the Residence
Emergency Contact

I understand that vacation checks/safety patrols will be performed on a random basis as staffing and time permits.  Any application may be denied due to past history at residence.  My signature on this form or submission of this form releases the City of Bandon, the Bandon Police Department, and their employees and volunteers of all liability or any loss or damage that may occur during the aforementioned time period.  

Submit Requests to:

Bandon Police, 555 Hwy 101, Bandon, OR  97411

Fax (541)347-2206

Email slakey@cityofbandon.org

Date