HOUSE CHECK / VACATION NOTIFICATION FORM

Completed form is to be hand-delivered or mailed to the Pennington Borough Police Department located at 30 North Main Street, Pennington, NJ 08534-0095
Name: ___________________________________________
Street Address: ____________________________________
City: _____________________________________________
Emergency Contact Person: ____________________________
Emergency Contact Phone Number: ___________________________
Please check the appropriate boxes below.

Is this a private residence or a business? ___Private ___Business

Does your home or business have an alarm? ___Yes ___No

Is the alarm registered with Pennington Police Department? ___Yes ___No

Will there be lights on timers or left on? ___Yes ___No

Will there be any cars in the driveway? ___Yes ___No

Please enter your departure date__________ and return date_____________.
Also, list anyone that may be on the property, ie family members, workers, etc.
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