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Out of Town - Vacation Check Sign Up

  1. Date of Vacation
  2. Your Contact Info
  3. Not the landline to your residence we are checking

  4. Not the landline to your residence we are checking


  5. Trusted Person Contact Information

    Someone we can contact, preferably locally, about your residence, while you are gone, if needed. 

    Preferably not someone traveling with your vacation party.

  6. Secondary Trusted Person Contact Information

    Someone we can contact, preferably locally, about your residence, while you are gone, if needed. 

    Preferably not someone traveling with your vacation party.


  7. Premise Information
  8. Will any lights be left on in your residence?*
  9. Will any lights left on be on a timer?
  10. Will there be a radio or audible sound source left on while you are gone?*
  11. Will the radio or audible sound source left on be on a timer?*
  12. Is there an alarm system on the premise?*
  13. Are you leaving any vehicles on your premise?*
    (Do not include those parked in closed garages)
  14. Example: Ford Explorer Silver

  15. Have you stopped your mail and/or newspaper delivery*
  16. Do you have any deliveries scheduled while you are gone?*

    Example: Amazon deliveries

  17. Will there be anyone else in the home or property?*

    (for example a neighbor, family member, landscaper, contractors, someone to water plants, etc.)

  18. Additional Information
  19. Please type none if there is no additional information Officers should know when checking your home

  20. By completing this form, you grant the Creve Coeur Police Department permission to enter your home or premises upon exigent circumstances, emergencies, signs of a break in or an unsecured door/window during the period of your requested vacation check.*
  21. For questions or issues completing this form please contact the Crime Prevention Office at (314) 442-2075 or email crimeprevention@crevecoeurmo.gov
  22. For more information, contact the Crime Prevention Office at (314) 442-2075.
  23. Leave This Blank:

  24. This field is not part of the form submission.