Okaloosa County Sheriff's Office

VACATION SECURITY HOUSE CHECK FORM

Please submit this form to the Okaloosa County Sheriff's Office prior to your departure to request extra patrol for your house while you are gone.
 ***Please submit vacation security house check form at least one week prior to departure date.***

About You:

Name
Street Address
Address (cont.)
City
Work Phone
Home Phone

Dates Absent, From:

-- mm/dd/yy

Next of Kin Contact:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone

Other Emergency Contact Person:

Name
Work Phone
Home Phone

Other Information: (Cars in driveway, lawn service or other persons expected, neighbor with key, out-of-town number for owner, etc.)


Okaloosa County Sheriff's Office
1250 North Eglin Parkway
Shalimar, FL 32579
(850) 651-7400