America 250

Vacation Home Check Form

The Blair Township Police Department will conduct exterior security inspections of your home while you are on vacation. You can also notify us by calling (814) 696-3846 or stop by our office at 375 Cedarcrest Drive, Duncansville, Pa. (Requests should be made at least 72 hours prior to your absence). For your convenience, complete our online Vacation Home Check Request to let us know when you will be out of town.

Please note: Requests made after hours or over the weekend will not be processed until the next business day. Additionally, vacation home checks will not be provided for homes that are being offered for sale by a realtor that will be unoccupied for 48 hours or less, in a home where a person has been engaged to live in the home while the owner is absent, or where the house will be unoccupied for more than nine months.

When you return to your residence, please notify the Police Department by calling (814) 696-3846.

Your Information
Resident Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Cell Phone
Email
Preferred Contact Method**
Date of Departure*
MM slash DD slash YYYY
Date of Approximate Return*
MM slash DD slash YYYY
Emergency Contact Information
Name*
Phone*
Other Information
Are any lights on timers?
- Yes
- No
Are vehicles in the driveway?
- Yes
- No
If yes, what type/color is/are the vehicles?
Mail Delivery Stopped?*
- Yes
- No
Newspaper Delivery Stopped?*
- Yes
- No
Persons authorized to be on the property. List name and relationship.*
Additional Comments

Business Survey Form

Is this an initial registration or an update to a currently registered business?*
- Initial registration
- Update
Business Information
Business Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Business Hours*
Owner Name(s)*
Owner Phone(s)*
Building Owner
Alarm Information
Does your business have an alarm?*
- Yes
- No
Type of Alarm
- Fire Alarm
- Burglar Alarm
- Panic Alarm
Alarm Company Name
Alarm Company Phone
Emergency Contact and Keyholder Information
First Contact Person
Name*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Work Phone*
Cell Phone
Second Contact Person
Name*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Work Phone*
Cell Phone
Third Contact Person
Name*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Work Phone*
Cell Phone
Additional Information

Your Information

Emergency Contact Information

Other Information

Business Information

Alarm Information

Emergency Contact and Keyholder Information

Blair Township Board of Supervisors

Blair Township Planning Commission