Your browser either does not support JavaScript or you have JavaScript disabled. Please enable JavaScript or view this page in
Text Version
.
Skip Navigation
This table is used for column layout.
Our Town
Departments
Town Commission
Boards / Committees
Calendar
Public Records Center
Important Links
Employment
Forms / Applications
Subscribe to News
Contact Us
Home Page
Staff Email Login
House Check Form
Printer-Friendly Version
When you leave town you may submit a form asking the Melbourne Beach Police Department to check on your house for you while you are gone. This form is now available as an online form. Simply fill out the requested information and click submit.
Please provide the following information:
Field Description
Field Data
Required Field
Name Owner:
required
Email:
required
Address:
required
Phone:
required
Alt Phone:
required
From/To Dates:
required
Local Contact Name:
required
Local Contact Phone:
required
Lights on a Timer?
Field Data
Yes
No
Inside/Outside?
Field Data
Inside
Outside
Pool and/or Lawn Service?
Field Data
Yes
No
Please supply any additional details that you feel will assist the Department in protecting your home during your absence.
