Vacant Residence Form

Home Vacant Residence Form

Complete the Vacant Residence Form below which will give the Rye Police Department valuable information in the event of an emergency at your residence while you are away.

    Name*

    Address*

    Email*

    Departure Date*

    Return Date*

    Phone where you can be reached while away

    Is residence alarmed?
    YesNo

    Local contact person

    Local contact phone

    Will anyone else have permission to be at residence?
    YesNo

    If so, please list names

    Other Information you think we should be aware of

    Quiz (to prevent spam)