Required fields are marked with asterisks (*)

Vacation Security Check Request Form

The Cerritos Sheriff's Station/Community Safety Center offers free vacation security checks for residents. While you're away, a Volunteer on Patrol will check your home for broken windows, open doors, or other suspicious clues.

All information on the form must be completed in order for your request to be processed.

Be sure to lock all doors and windows. Please notify the Community Safety Division at (562) 916-1266 if you return before your indicated return date.

Type of Request

What type of security check are you requesting?

Vacation

Fumigation

Construction

Other

Security Check Dates and Times

Date Leaving

Start Time

Date Returning

End Time

Your Contact Information

First Name

Last Name

Street Address Line 1

Street Address Line 2

City

Zip

Cell Phone Number

Alternative Phone Number

Emergency Contact Information

Would you like to list an emergency contact person?

Yes

First Name

Last Name

Emergency Contact Cell Phone Number

Emergency Contact Home Phone Number

Will the emergency contact person have access to your property?

Yes

Will there be, for any reason, anyone visiting or staying at your property during the request period?

Yes

Alarm Company

Is your property alarmed?

Yes

Lights and Surroundings

Will the lights be left on?

Yes

Will access to the backyard be locked?

Yes

Vehicles

Will there be any vehicles left at the property that can be seen from the street?

Yes

Pets, Deliveries, and Other Services

Do you have a dog in the backyard?

Yes

Have you stopped newspaper/mail delivery?

Yes

Does a lawn service maintain your property?

Yes

Do you have a pool service?

Yes

Details

Please type any other information you want us to know (limit your message to 1,000 characters or fewer.)