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City of Cerritos
Community Safety Division

(562) 916-1266

Vacation Security Check Request Form

The Cerritos Sheriff's Station/Community Safety Center offers free vacation security checks for residents. While you're away, a Volunteer on Patrol will check your home for broken windows, open doors or other suspicious clues.

Please submit this form at least 5 working days in advance of leaving on vacation. All information on the form must be completed in order for your request to be processed. If it is less than 5 working days from when you will leave, please call (562) 916-1266 to submit a vacation security check request by phone.

Be sure to lock all doors and windows. Please notify the Community Safety Division at (562) 916-1266 if you return before your indicated return date.

Type of Request

What type of security check are you requesting?

Security Check Dates and Times

Date Leaving

Date Returning

Your Contact Info

Full Name

Full Address

Emergency Contact Information

Would you like to list an emergency contact person?

Emergency Contact Name

Will the emergency contact person have access to your property?

Will there be, for any reason, anyone visiting or staying at your property during the request period?

Alarm Company

Is your property alarmed?

Lights and Surroundings

Will the lights be left on?

Will the lights be on a timer?

Will access to the backyard be locked?


If you indicated any vehicles, please fill in the information for each below and/or proceed to "Pets, Deliveries and Other Services."

Vehicle Number 1

Vehicle Number 2

Vehicle Number 3

Pets, Deliveries and Other Services

Do you have a dog in the backyard?

Have you stopped newspaper/mail delivery?

Is someone retrieving newspapers/mail for you?

Does a lawn service maintain your property?

Do you have a pool service?


Please type any other information you want us to know. (Please limit your message to 1,000 characters or less.)

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