Town of Clifton Park - Residential Vacation Checklist - Online Version


Name:
Address:
Town:
Phone: Email:
Vehicles: In Garage? In Driveway?
If in Driveway: Make Model Plate#
Home Description:
Date Leaving (mm/dd/yyyy): Date Returning (mm/dd/yyyy):
 
Neighbor Watching House:
Address:
Phone: Day Night Cell
 
Emergency Contact Person:
Does this person have a key?     Yes   No
Name:
Address:
Phone: Day Night Cell
     
If Available:
Vacation Address/Location:
Phone:
Additional Info and/or Itinerary:

The Town of Clifton Park assumes NO responsibility for your property or its contents. Homeowner additionally agrees to hold the Town of Clifton Park harmless for any claims or actions which may arise as a result of the Town’s acts, the acts of their agents or assigns, who may access the property during this vacation period.
I Accept