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Unoccupied Residence Notification

  1. If you would like the Lafayette Police Department to periodically check your residence while you are on vacation or your house will be unoccupied for a period of time, submit this form with as much detail as possible. Please be sure to provide an accurate return date.

  2. If there is a number we can reach you directly, please provide.

  3. Deliveries Stopped?*

  4. Interior Lights?*

  5. Exterior Lights?*

  6. Blinds/Draperies?*

  7. Residence Alarmed?*

  8. If Alarmed

  9. Animals?

  10. Vehicles?

  11. Please use this space to describe animal information.

  12. If vehicles are left outside, please list them here by Year, Make, Model and Color

  13. Leave This Blank:

  14. This field is not part of the form submission.