The Vacation House Check program is a free service offered by the police department for Roseville residents and is meant to be supplemental to your primary home security arrangements. 

While you are away, volunteers in our Citizens On Patrol program will check your residence on a random basis, looking for signs of suspicious activity such as open doors, open or broken windows, unfamiliar cars, or other suspicious conditions.  Any situation discovered by our COP volunteers that needs immediate attention will be addressed by Roseville Police Officers.

To enroll in the Vacation House Check program, fill out the online form below and click the submit button at the bottom of the page.  Once processed, you will receive a confirmation e-mail.
  
Applications must be submitted at least seven days prior to your departure day and can last no longer than 30 days.

Please note the Vacation House Check program is not intended to provide security service for your home.  The Roseville Police Department assumes no liability for any thefts, losses, or damage to properties during the enrollment period.
  • Requests must be received at least seven days prior to departure date
  • Requests may not exceed 30 consecutive days.
  • We are unable to service homes with on-site houseguests.
  • If you return BEFORE your stated return date, please call (916) 746-1052.
Vacation House Check Form
TRAVEL INFORMATION
 
Departure Date:                    Return Date:  
 
HOMEOWNER / RESIDENT CONTACT INFORMATION
 
Full Name: 
Full Address: 
Phone:  Is this a cell phone?   Email:
What is the best way to contact you if needed?  Cell Phone Email
 
EMERGENCY CONTACT / KEY HOLDER
 
Full Name: 
Full Address:   
Phone:  Is this a cell phone?    Email: 
What is the best way to contact them if needed? Cell Phone Email
 
PROPERTY INFORMATION
 
Will there be vehicles parked in the driveway?   

If yes, provide the following vehicle information for each vehicle:

#1: Color, Make, Model Lic Plate: 

#2: Color, Make, Model Lic Plate: 

#3: Color, Make, Model Lic Plate: 

Will all doors and windows be closed and locked?    If no, explain: 
Will any lights or a radio be left on, or on timers? 
Are newspapers/mail/deliveries stopped?   If no, will someone be coming by to check/collect newspapers/mail/packages? 
Will there be a dog(s) at the house?   Will the dog(s) have access to the back yard? 
Will all exterior gates be locked? 

Do you want the back yard checked? 

NOTE: If access to the backyard is locked OR dogs have access to the back yard, that area will not be checked.

Does anyone other than the Emergency Contact have keys to your home? 

If yes please provide their, name and phone number: 

 
Scheduled Exterior Services
Indicate in the box which days of the week each service is scheduled to be at your house. If there is none expected, please input N/A into the text field. 
Gardener Service Days:  
Pool Care Service Days:  
 
Scheduled Interior Services
Indicate in the box which days of the week each service is scheduled to be at your house. If there is none expected, please input N/A into the text field.
Pet Care Service Days:  
Plant Care Service Days:  
Cleaning Svc Service Days:  

I understand vacation checks/safety patrols will be performed on a random basis as staffing and time permit. 
I understand my application may be denied due to law enforcement-related history at the location requested.
My signature on this form releases the City of Roseville, the Roseville Police Department, and the COP Volunteer(s) of all liability for any loss of property or damage that may occur during the time period of the Vacation Home Check application.

* By checking this box, I understand that I am providing my digital signature. I acknowledge and agree to all of the foregoing, and certify that the information I have provided is completely accurate.

Homeowner/ Resident Signature:   Date: 



Security Measure