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Fullerton, CA
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Vacation Check
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Body:
Email Address:
Subject:
Fullerton PD Vacation Check
Greeting:
Reason for Email:
Your Vacation Check has been approved
Your Vacation Check has
NOT
been approved
Other
Email Text:
If you are rejecting this request please briefly explain why.
Add
Leaving Date
†
Returning Date
†
First Name
†
Last Name
†
Address
†
Zip
†
City must be in Fullerton, CA. Mobile home parks must include space number and street name.
Phone Number
†
Email Address
†
How can you be reached while you're gone (emergency contact person)
†
Persons having keys to residence
Name
Home Phone
Work Phone
1
2
Persons authorized on premises
Will the lights be left on?
Yes
No
Will the lights be on a timer?
Yes
No
Do you have lawn care?
Yes
No
What day of the week is your lawn service?
Is mail delivery stopped?
Yes
No
Is newspaper delivery stopped?
Yes
No
Do you have an alarm?
Yes
No
Do you live in a Gated Community?
Yes
No
Gate Code:
Will animals be left on the premises?
Yes
No
Type(s) of animal(s)
Vehicles left on premises
Make
Model
Color
License #
Location
Ex
Dodge
Ram truck
Blue
1234567
Driveway
1
2
Other information you would like to make known to us
Example: "I live in a gated community and the gate code is 1234."
† Required Fields
