Vacation Check - Fairfield County Sheriff's Office

Today's date Name Home phone Address City Zip Description of house Leaving date/time Returning date/time Cell phone Pager Key holder 1 name Key holder 1 phone Key holder 1 car Key holder 2 name Key holder 2 phone Key holder 2 car Key holder 3 name Key holder 3 phone Key holder 3 car Car on property 1 make Car on property 1 model Car on property 1 color Car on property 2 make Car on property 2 model Car on property 2 color

First floor lights

First floor lights: yes First floor lights: no Second floor lights: yes Second floor lights: no Bedroom lights: yes Bedroom lights: no Kitchen lights: yes Kitchen lights: no Back lights: yes Back lights: no Paper stop: yes Paper stop: no Front lights: yes Back lights: no Living room lights: yes Living room lights: no Other person on property 1 name Other person on property 1 phone Other person on property 2 name Other person on property 2 phone Other person on property 3 name Other person on property 3 phone Any additional information or problems