Delmont, PA · Westmoreland County

No notary required

Vacation House Check Form

Delmont residents can use this form to request a vacation house check and provide the police department with travel dates, contact details, and property information.

What this form is

This form provides the Delmont Borough Police Department with information for its vacation check program, including when you will be away, how to contact you, and details about your home, vehicles, alarm, and contacts. It also explains that checks depend on available manpower and call volume and are not guaranteed surveillance. By submitting it, the homeowner or custodian authorizes the department to use the information for official duties.

Who needs it

A Delmont homeowner or custodian who wants the police department to check the residence while they are away can complete and submit 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 and dated without a notary; it includes no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Vacation House Check Form PDF.

  2. 2

    Complete The Form

    Fill in your travel dates, contact details, vehicle and alarm information, and authorization.

  3. 3

    Sign And Date

    Sign and date the form as the homeowner or custodian.

  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

What information does the Vacation House Check Form ask for?
It asks for your contact information and travel dates, contact and vehicle details, information about your alarm system, and authorization for the department to use the information.
Do I need a notary for the Vacation House Check Form?
No. The form is signed and dated without a notary, and it does not identify a notarized or sworn attachment or related step.
How do I submit the Vacation House Check Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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