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 7 days prior to departure and 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
 

Last Name:            

First Name:  

Street Address:   Roseville, CA  Zip Code:
Home Phone:    Cell Phone:     Email:
 
ALTERNATE CONTACT
 
Last Name, First Name:   
Address:   
Phone/Cell:
 
PROPERTY INFORMATION
 

Check the YES or NO response to the following questions:

 Yes /NoVehicle(s) left in the driveway. 
 

If yes, please provide the following information: 

Make: 

Model: 

Color: 

License Plate: 

 Yes /NoAll doors and windows closed and locked? Comment, if needed:  
 Yes /NoNewspapers/deliveries/mail stopped? Comment, if needed:  
Yes /NoAll exterior gates locked? (Highly recommended) Comment, if needed: 
Yes /NoIf you would like your locked backyard checked, place a combination lock on the gate and provide the combination:
Yes /NoLights or radio left on, or on timers? (Highly recommended) Comment, if needed: 
Yes /NoDogs on property have backyard access? 
 If yes, please indicate Name(s):  and Breed(s): 
Yes /NoAnyone with keys to your home? 
 If yes, please provide Name(s):   and Telephone: 
Yes / NoExterior service provider: gardener, pool, maintenance, etc. 
 If yes, Day(s) of Week & Time:  Vehicle Description: 
Yes /NoInterior service provider: pet feeding, plant watering, etc.
 If yes, Day(s) of Week & Time:  Vehicle Description: 

 

I understand vacation checks/safety patrols will be performed on a random basis as staffing and time permit. Any application may be denied due to history at the residence. My signature on this form releases the City of Roseville, the Roseville Police Department, and the C.O.P. volunteer of all liability for any loss of property or damage that may occur during the aforementioned time period.

 * 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: 

OFFICE USE ONLY

Received App.: Yes   No By: Premise Check: Yes   No By: Contact Homeowner: Yes   No By: Dispatch Notified : Yes   No By:           



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