Vacation Checks Form

If you prefer to print out this form click here.
 
Date of Absence   January February March April May June July August September October November December   Day:    Year:   Date of Return  January February March April May June July August September October November December   Day:   Year:

Resident's Name 
Address 
City    Township    State 
Home Phone    Work Phone    Emergency Number 

House Description
Property Description

Caretaker's Name
Address
City   Township   State
Home Phone     Work Phone    Pager Number 
Vehicle Description

People allowed on the property and in the residence:
1.   Telephone Number 
2.   Telephone Number 
3.   Telephone Number 

Security systems, alarms, light timers; when they are timed, and location:
1.
2.
3.
4.
                                       
PROTECT YOUR PROPERTY DURING YOUR ABSENCE BY:
● CANCELLING ALL DELIVERIES MAIL, NEWSPAPERS, MILK, ETC.
● USE TIMERS TO TURN ON LIGHTS AND/OR RADIOS
● LEAVE A KEY WITH A NEIGHBOR AND HAVE SOMEONE WATCH YOUR RESIDENCE
● HAVE SOMEONE MOW THE LAWN OR SHOVEL THE SNOW
● PARK A SECOND VEHICLE IN THE DRIVEWAY

UPON RETURNING PLEASE CANCEL YOUR VACATION CHECK BY CALLING THE KANE COUNTY SHERIFF'S DEPARTMENT AT 630-232-6840. THANK YOU FOR YOUR ASSISTANCE.