Residence Vacation Check

Officers conduct residential vacation checks to those that would like an extra set of eyes on their home while they are away. Please complete the form below or contact Lisa Davis for more information at 608-798-4100.

* Indicates required field

Name *

First

Last

Vehicles on Premises? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Check All That Apply *

Phone Number *

Email *

Leave Date *

Return Date *

Key Holder *

First

Last

Emergency Contact Name *

First

Last

Key Holder Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Address *

Line 1

Line 2

City

State

Zip Code

Country

Key Holder Phone Number *

Emergency Contact Phone Number *

Additional Notes *

By clicking submit, you hereby acknowledge that you are the lawful resident of the above-listed address and all information provided is true. Providing false information can lead to civil and/or criminal penalties. Also by clicking submit, you also agree to notify the Cross Plains Police Department promptly of any itinerary changes.

Submit