Town of Clifton Park

Residential Vacation Watch

Residential Vacation Watch Printable Form

Are you leaving town for an extended period of time? Use this form to notify the city of Clifton Park to ensure that your property is looked after while you're away.

First Name *

Last Name *

Address *

Town *

Phone *

Email *

Date Leaving *

Date Returning *

Vehicles

Vehicles in Garage

Vehicles in Driveway

If in Driveway

Make

Model

Plate Number

Home Description

Neighbor Watching House

Neighbor's Name

Neighbor's Address

Cell Phone

Day Phone

Night Phone

Emergency Contact Person

Contact's Name

Contact's Address

Do they have a key?

Yes

Cell Phone

Day Phone

Night Phone

Vacation Info (if available)

Vacation Address

Vacation Phone

Itinerary

Additional Comments

Type of House Check Preferred (select one)

Drive By Only

Visually Inspect Perimeter

Please note that snow and/or icy conditions may hinder perimeter access.

Disclaimer

The Town of Clifton Park assumes NO responsibility for your property or its contents. Homeowner additionally agrees to hold the Town of Clifton Park harmless for any claims or actions which may arise as a result of the Town’s acts, the acts of their agents or assigns, who may access the property during this vacation period. Please note that snow and/or icy conditions may hinder perimeter checks.

Yes, I have read and accept the disclaimer.

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