Housecheck

Rockton Police Department
	"Providing a Safe Community"
	Housecheck

Please complete all applicable questions of this on-line form and click the submit button when finished. Once your request is received, you will be contacted by the department to confirm your information within 48 hours. If you would rather submit your request in person, we can take the needed information from you by phone or at the station. Please feel free to contact the department with your questions, Monday through Friday, 8-4pm, at 815-624-8881.

Departure Date

Return Date

Name

Address

Home Phone

Cell Phone

Email

Paper Stopped

(yes/no)

Snow Removal/Lawn Care

(yes/no)

Vehicles

(description of vehicles left on property)

Lights

(were lights left on or are set by timer)

Alarm

(company name and contact information)

Key Holder

(contact information of person that keys have been left with)

Comments

Please have an officer contact me reference my house check request.

"Providing a Safe Community"