Lehighton, PA · Carbon County

No notary required

Notice of Home Vacation Form

Lehighton residents use this form to notify the police department that their home will be vacant and provide contact details and instructions.

What this form is

This form lets residents notify the Lehighton Police Department that their home will be vacant for a short period. It records departure and return dates, resident and emergency contact details, timer-light settings, key arrangements, and special instructions. The notice asks police to contact the listed emergency person if routine patrols identify something unusual; it states that the department does not promise to visit or protect the home.

Who needs it

Residents planning to leave their Lehighton home vacant for a short period can use this form to notify the police department.

How to submit it

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

About notarization

This form is signed and dated without a notary; it requests no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Notice of Home Vacation Form PDF.

  2. 2

    Complete The Form

    Enter your departure and return dates, resident and emergency contact details, light settings, key arrangements, and any special instructions.

  3. 3

    Sign And Date

    Sign and date the form. No attachment is listed on the form.

  4. 4

    Submit To The City

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

Frequently asked questions

What is the Notice of Home Vacation Form for?
It notifies the Lehighton Police Department that a resident's home will be vacant for a short period and provides dates, contact information, and instructions.
Who should complete this form?
A resident planning to leave their Lehighton home vacant for a short period can complete it and provide an emergency contact for police to reach if needed.
Do I need a notary for the Notice of Home Vacation Form?
No. The form asks the resident to sign and date it; it does not mention a notarized or sworn attachment.
How do I submit the Notice of Home Vacation Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Notice of Home Vacation Form doesn’t need a notary — but if you have another Lehighton form that does, a commissioned online notary can help.