New Cumberland, PA · Cumberland County

No notary required

Vacation House Check

New Cumberland residents use this form to request periodic police checks of their residence while they are away.

What this form is

The form requests periodic checks of a residence while the resident is away and states that checks are voluntary, free, and provided only as time is available, with no guarantee against loss, theft, or damage. It asks for the residence address, resident and emergency-contact details, departure and return dates, lighting and vehicle information, and other notes. The signer agrees to notify the police department after returning and cancel the checks.

Who needs it

A New Cumberland resident who wants the police department to conduct periodic checks of their residence during an absence needs this form.

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 document is signed without a notary; the resident signs and dates the request and liability waiver.

How to submit this form

  1. 1

    Download The Form

    Download the Vacation House Check PDF.

  2. 2

    Complete The Details

    Enter the residence, contact, departure and return, lighting, vehicle, and other requested information.

  3. 3

    Sign And Date

    Sign and date the request and liability waiver.

  4. 4

    Submit To The City

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

Frequently asked questions

Do I need a notary for the Vacation House Check?
No. This form is signed without a notary; the resident signs and dates the request and liability waiver.
How do I submit the Vacation House Check?
The form does not provide a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.
What information does the Vacation House Check ask for?
It asks for residence and contact details, departure and return dates, lighting and vehicle information, key holders, emergency contacts, and other information.
Does the form guarantee my home will be protected?
No. It states that checks are voluntary, free, provided only as time is available, and do not guarantee against loss, theft, or damage.

Need something notarized?

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