Skip to Main Content
Loading
Loading
Government
Departments
Services
Doing Business
I Want To...
Search
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Addressing
Citizen Boards
Clerk & Recorder
Clerk to the Board
Community Development
Contact Us
Emergency Information
Environmental Health
Finance
Health & Human Services
Open Space and Trails
Philips Housing Project
Public Works
Sheriff's Office
Surveys
Treasurer/Public Trustee
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sheriff's Vacation Home Check
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
This section is complete
This section is incomplete
2.
Residence Information
This section is complete
This section is incomplete
3.
Absence Information
This section is complete
This section is incomplete
4.
Emergency Contact Information
This section is complete
This section is incomplete
Step One
Thank you for completing the PCSO Vacation Home Check request form. The information here will be used to create your vacation home check. Please make sure all of the information is complete and accurate. One of our staff members will contact you to confirm receipt of this information.
CONTACT INFORMATION
Please provide the contact information for the person submitting the form. Questions will be directed to this person.
First Name
*
Last Name
*
Home Phone
*
Cell Phone
*
Email Address
*
Continue
Residence Information
RESIDENCE INFORMATION
Please provide us with the physical address of the residence at which you are requesting a vacation home check.
Address1
*
Address2
City
*
State
*
Zip
*
Directions To Residence
Continue
|
Go Back
Absence Information
ABSENCE INFORMATION
Please complete the information below regarding your absence.
Leave Date
*
Leave Date
Return Date
*
Return Date
Alarm System At Residence?
*
-- Select One --
Yes
No
Night/Exterior Lights At Residence?
*
-- Select One --
Yes
No
Is anyone allowed at the residence while you're away? (e.g. plumber, property manager)
*
-- Select One --
Yes
No
If "Yes", please list the first/last name of the people that have permission to be at your residence while you are away.
First Name
Last Name
First Name
Last Name
First Name
Last Name
Will there be vehicles left at the residence while you are away?
*
-- Select One --
Yes
No
If "Yes" please list the vehicles that have permission to be at your residence while you are away.
Vehicle Make
(Chevrolet, Porsche etc.)
Vehicle Model
License Plate #
Vehicle Make
Vehicle Model
License Plate #
Newspaper Delivery?
-- Select One --
Yes
No
US Mail Delivery?
-- Select One --
Yes
No
Continue
|
Go Back
Emergency Contact Information
EMERGENCY CONTACT INFORMATION
Please provide at least ONE emergency contact for the residence.
First Name
*
Last Name
*
Emergency Contact Phone
*
Does this person have keys to the residence?
*
-- Select One --
Yes
No
Additional Notes
If there is anything else you want the deputies to know about your residence while you are gone, please indicate that above.
AUTHORIZATION
*
-- Select One --
I AGREE
I DISAGREE
By selecting "I AGREE" you are indicating that you are authorized to request the Pitkin County Sheriff's to perform vacation home checks at the address listed above. Although no amount of crime prevention can guarantee a burglar will not strike, the Sheriff's Office believes that this increased patrol will deter the potential criminal.
Leave This Blank:
Submit
Submit and Print
|
Go Back
* indicates a required field
Website Disclaimers
Website Accessibility
Pitkin County Press
Employment Opportunities
Apply and join our team
Clerk & Recorder
Marriages, elections, motor vehicle
Meetings & Agendas
Meetings, minutes, agendas
Watch Meetings
BOCC live meetings
Community Development
Planning, zoning, and building
Pay My Taxes
Online Tax Payments
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow