By completing this form, your residence will be checked at least once a day by the City Marshal or Deputy. Out of Town Location of Property* Street Address Name of Occupant* Name Phone*Reason for VacancyDate of Departure* Date Format: MM slash DD slash YYYY Date of Return* Date Format: MM slash DD slash YYYY DestinationEmergency Contact*Emergency Contact Phone No.*Local Person with KeyLocal Person's Phone No.Will anyone be allowed on the premises? If so, who?List any additional information not asked above.* Indicate required field* You must check this box before submitting your form