Hewlett Bay Park, NY · Nassau County

No notary required

Vacant Premises Report

Homeowners use this report to share absence dates, residence details, security information, vehicles left at home, and emergency contacts with the police department and security.

What this form is

The Vacant Premises Report collects homeowner contact information and details about when the homeowner will be away and return. It asks about lighting, alarms, vehicles remaining at the residence, and emergency contacts who have keys. The form is labeled for the Police Department and Security; it does not state when the city requires a report or provide submission instructions.

Who needs it

Homeowners who want to provide absence, residence, security, vehicle, or emergency-contact information for the Police Department and Security can complete this report.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

No notary is required; the report has a date field and no notarized attachment or sworn step, so the homeowner completes and dates it.

How to submit this form

  1. 1

    Download The Report

    Download the Vacant Premises Report PDF.

  2. 2

    Complete The Homeowner Details

    Fill in your contact information, absence and return dates, away address, and residence security details.

  3. 3

    Add Contacts And Vehicle Details

    List vehicles remaining at the residence and emergency contacts, including whether each contact has a key.

  4. 4

    Submit The Report

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Vacant Premises Report request?
It asks for homeowner contact details, absence and return dates, an away address, lighting and alarm information, vehicles remaining at the residence, and emergency contacts.
Who is this report for?
The report is for homeowners and is labeled for the Police Department and Security.
Do I need a notary for the Vacant Premises Report?
No. The report has a date field but no notarized attachment or sworn step; the homeowner completes and dates it.
How do I submit the Vacant Premises Report?
The form is labeled for the Police Department and Security but gives no submission details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Vacant Premises Report doesn’t need a notary — but if you have another Hewlett Bay Park form that does, a commissioned online notary can help.