City of Fulton, KY

City of Fulton Vacant Home Request Sheet

If you are leaving your home vacant for a weekend trip or for your winter getaway, don't forget to let your police department know. We will keep an extra eye on your home by randomly checking your doors to ensure the security of your home.

Name of Home Owner

Street Address 1

This is the address of the building law enforcement will be watching while you are gone.

Address Line 2

City

State / Province / Region

Postal / Zip Code

Phone

Please leave a number where you can be reached in case of any problems

Alternate Phone

Requester Email

Date Leaving

Date Returning

Name of Keyholder

This can be a person who has a key to your home that can let law enforcement in should there be any problems.

Keyholder Phone Number

Will there be any vehicles left behind at the home? If yes, please describe them and where they are located (driveway, garage)

Do you have lights on timers? If yes, please describe which lights in the home and what time they come on/off.

Are there dogs or cats in the home? If yes, please describe.

City of Fulton Vacant Home Request Sheet

Name of Home Owner

Street Address 1

Address Line 2

City

State / Province / Region

Postal / Zip Code

Phone

Alternate Phone

Requester Email

Date Leaving

Date Returning

KEYHOLDER INFORMATION

Name of Keyholder

Keyholder Phone Number

Information About Your Home

Will there be any vehicles left behind at the home? If yes, please describe them and where they are located (driveway, garage)

Do you have lights on timers? If yes, please describe which lights in the home and what time they come on/off.

Are there dogs or cats in the home? If yes, please describe.

City of Fulton Vacant Home Request Sheet

Name of Home Owner *

Street Address 1 *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Phone *

Alternate Phone

Requester Email

Date Leaving *

Date Returning *

KEYHOLDER INFORMATION

Name of Keyholder

Keyholder Phone Number

Information About Your Home

Will there be any vehicles left behind at the home? If yes, please describe them and where they are located (driveway, garage)

Do you have lights on timers? If yes, please describe which lights in the home and what time they come on/off.

Are there dogs or cats in the home? If yes, please describe.

Name of Home Owner

Street Address 1

City

State / Province / Region

Postal / Zip Code

Phone

Date Leaving

Date Returning