Form

CANTERWOOD SECURITY VACATION CHECK - Complete the form below and submit.

CANTERWOOD SECURITY VACATION CHECK
Name
Email
Address
Depart Date
Return Date
Vacation Contact Phone
Name & Phone of Emergency Contact/Person(s) Allowed Access During Vacation
Other Persons Allowed to Access Residence
Vehicles or property left outdoors while on vacation:	Yes No
License/Make/Model/Color
License/Make/Model/Color
Other Vehicles or Property
House Alarm?	Yes No
Audible Outside?	Yes No
Professionally monitored?	Yes No
Monitoring company name & phone?
Exterior Lighting?	Yes No
On timers?	Yes No
Motion activated?	Yes No
Interior Lighting?	Yes No
On timers?	Yes No
Motion activated?	Yes No
Broken windows, screens, or doors?	Yes No
If yes, describe:
Pets in house or yard?	Yes No
If yes, describe:
If yes, name & phone of person caring for pets
Stopped mail?	Yes No
Stopped newspaper?	Yes No
I authorize Security to reset the septic alarm	Yes No
I authorize Security to pick up/store packages	Yes No
NOTE: Package pickup requires valid email address for notification. Your email:
Additional instructions:
By signing or checking the digital signature box, I hereby grant and request that Canterwood Security personnel visually check the property listed above, which may include access to the yard. I understand and agrees that this is a voluntary, free service	Yes
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