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 check of your property while you are away, please complete the form below. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*In Case of EmergencyPlease provide contact information for alternate care.Name* First Last Dates when you will be gonePlease let us know the duration of time you will be gone so we know when to start and stop our drive-by checks.To:* Date Format: MM slash DD slash YYYY The first day your home will be vacant. From:* Date Format: MM slash DD slash YYYY The last day your home will be vacant. Additional notes for deputy(Animals on the premises, automatic light timers or other precautions taken before departure, etc)Please note:CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.