Forms

Vacation House Check Request

Going on vacation or an extended leave from your home.
The Eaton Police Division provides a form that you can download to your printer.
The form gives us all the information to check on your home while your out of town.
Just click the link below to print out your form then drop it off or fax it to us.

VHC Form Click Here

Vacation House Check Request Form

Starting Date/Time *

Ending Date/Time *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is there an alarm on the residence? *

Yes No

Alarm Company *

Will there be a vehicle in driveway? *

Yes No

Make & Model & Year *

In case of emergency contact:

Color/License Plate# *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Describe any lights or any outside pets *

The City of Eaton Police Division will make every effort to ensure the above listed residence is checked at least once every 24 hours; however, it is understood that this can not be guaranteed.

Office Use Only:

VHC# *

Entered By: *

Date: *

CAD Emergency Information Card

The Eaton Police Division’s 911 Communications Center is equipped with a Computer Aided Dispatch System (CAD) that provides first responders with critical information when responding to an emergency. The system has the ability to associate your name, address, or both, with special information or instructions that can greatly assist first responders if called to provide emergency assistance to you or your family.

If there is any important information or special instructions you would like to provide us with that you feel would assist us if called to help you or your family, we will enter the information into our CAD system.

All information will be kept strictly confidential and will only be used in the event of an emergency. Thank you, Chad W. DePew – Chief of Police

CAD Emergency Information Card

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Email *

Check ALL that apply *

Disabled/bedridden person Developmentally disabled/mentally ill person Oxygen in use Speech/Hearing impaired person Children: Number/Year of birth

Hazardous or flammable materials. *

Yes No

Location of materials *

Emergency contact and/or additional key holder: *

First

Last

Phone Number *

Emergency contact and/or additional key holder: *

First

Last

Phone Number *

Emergency contact and/or additional key holder: *

First

Last

Phone Number *

Special instructions or medical concerns: *