Rush Notary

Clearlake, CA · Lake County

No notary required

Vacation Check Request Form

Clearlake homeowners or renters use this form to request police vacation checks while they are away from home.

What this form is

The form lets homeowners or renters provide information for a vacation check request to the Clearlake Police Department. It asks for the dates they will be away, the home address, contact details, alternate keyholder information, vehicle descriptions, pet and alarm details, and lighting arrangements. The form also has a section for police use to record dates and times checked.

Who needs it

Homeowners or renters who want to share home and contact information with the Clearlake Police Department while they are away can use this form.

How to submit it

Fax the form to 707-994-8918 or drop it off at the Clearlake Police Department, 14050 Olympic Dr, Clearlake, CA 95422; the form says drop-off is available 24 hours a day.

About notarization

This form has no notary block and states no notarized attachment or sworn step; it requests contact, travel, home, and vehicle information.

How to submit this form

  1. 1

    Download The Form

    Download the Clearlake Police Department Vacation Check Request Form.

  2. 2

    Complete The Form

    Provide the requested travel dates, home and contact details, keyholder information, vehicle descriptions, and household details.

  3. 3

    Check Your Information

    Review the entries and include the requested information about pets, alarms, and lighting.

  4. 4

    Submit To The Police Department

    Fax the form to 707-994-8918 or drop it off at 14050 Olympic Dr, Clearlake, CA 95422.

Frequently asked questions

Do I need a notary for the Vacation Check Request Form?
No. The form has no notary block and does not state that an attachment or related step must be notarized or sworn.
How do I submit the Vacation Check Request Form?
Fax it to 707-994-8918 or drop it off at the Clearlake Police Department, 14050 Olympic Dr, Clearlake, CA 95422. The form says drop-off is available 24 hours a day.
What information does the form ask for?
It asks for your dates away, home and contact details, alternate keyholder information, vehicle descriptions, pet and alarm details, and lighting arrangements.

Need something notarized?

This Vacation Check Request Form doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.