Residence Check Request

Residents on campus (who do not live in a residence hall) may request a patrol check of their home while they're on vacation or away for an extended period of time. This is a complimentary service where officers from the UCI Police Department will periodically stop by your home to check for open doors, broken windows, or any other suspicious circumstances.

Resident Information

Name

Departure Date

mm/dd/yyyy

Departure Time

If known. Approximate time is acceptable.

Returning Date

mm/dd/yyyy

Return Time

If known. Approximate time is acceptable.

Street Address

Phone

Emergency Contact Phone

Phone

Responsible Person Information

This section is meant to provide contact info for someone who is local that can respond to the residence and meet with our officers in the event that there is an incident or emergency at the residence.

Name

Phone

Vehicle?

Yes

Keys to House?

Yes

Residence Information

Do you have pets in the backyard?

Yes

Newspaper stopped?

Yes

Mail stopped?

Yes

Rear yard locked?

Yes

Is anyone authorized to be in your home while you're away?

Yes

Do you authorize UCIPD to enter your backyard?

Yes

Are there lights on inside your home?

Yes

If there will be cars in the driveway, please list make, color, and license plate(s).

Do you have a home security alarm system?

Yes

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