Form Center • Fountain Valley, CA • CivicEngage

Contact Information

Dates of Vacation*
Dates of Vacation Start Date
—
Dates of Vacation End Date
Home Phone Number*
Additional Contact Number(s)
Email Address
Is there access to the backyard?*
1. Left Side
2. Right Side
3. No Access
Is there a dog on premises?*
1. Yes
2. No
Does the dog(s) have access to the backyard?
1. Yes
2. No
Does the property have an alarm system?*
1. None
2. Audible
3. Silent
Note:
Our staff will NOT check backyards where dog(s) have access, regardless of their breed, type or temperament.
If dog has access to the backyard, indicate "No Access" to backyard
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Name / Relationship / Phone Number
Authorized Persons on Premises (Name / Phone Number)
Others allowed to be in the house or on the property
Vehicle(s) in Driveway / License Number & Make
Is Property located in a Gated Community?*
1. Yes
2. No
If Yes, please indicate Access Code
If Gated, what are the major cross streets at "Key Pad"?
Special Notes:
Vacation House Checks will be performed only in the City of Fountain Valley.
Vacation House Checks will only be performed on week days (not weekends).
Vacation House Checks will not be performed on Commercial Property.
Vacation House Checks will not be performed during rain or bad weather.
Vacation House Checks will not be performed if anyone is living in the house.
Vacation House Checks will not be completed on vacant or "termite tented' houses.
If you need to cancel a "Vacation House Check", please call (714) 593-4526.
If you are experiencing issues with the Vacation House Check form, email us at: webmaster@fountainvalley.org

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