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2. Vacation Home Check

   If you are planning a trip or vacation and would like the Shelby County Sheriff's office to perform periodic drive-by checks of your property while you are away, please complete this form.

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone*
17. In Case of Emergency

    Please provide contact information for alternate care.

19. First Name*
20. Last Name*
22. Phone*
23. Email
27. Dates When You Will Be Gone

    Please let us know the duration of time you will be gone so we know when to start and stop our drive-by checks.

29. Days Your Home Will Be Vacant
    Days Your Home Will Be Vacant Start Date

    —

    Days Your Home Will Be Vacant End Date
33. Additional Notes for Deputy

    (Animals on the premises, automatic light timers or other precautions taken before departure, etc.)

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field