Residence Vacation Checks

Housing residents on campus that do not live in a residence hall may request a patrol check of their residence while they are on vacation or away from home for an extended period of time. The request may be submitted by calling Dispatch at (949) 824-5223 or by completing a "Residence Vacation Check" form in person at the Administration's front counter or via the online form below.

Online Residence Vacation Check Form

Resident Information
Leaving Date & Time:
Returning Date & Time:
Resident's Name:
Address:
Telephone:
Emergency Contact (telephone numbers and dates):
   
Responsible Person Information
Name:
Day telephone:
Night telephone:
Vehicle Description:
Keys to house:
   
Residence Information
Pool in yard:
 
Pets in yard:
Pets Type:
Newspaper stopped:
Mailed stopped:
Rear yard locked:
Broken window/screens:
Broken window/screens location:
Gardener/Maid: Yes No
Gardener/Maid Name:
Gardener/Maid Day(s):
Lights on inside:
Cars in driveway: Yes No
Cars Make, Color, and License:
Alarm:
Alarm Company Name:
Alarm Company Phone: