Vacation Contact Form

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Date Leaving for Vacation:

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Date Return from Vacation:

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Person Filling Out Vacation Information

First Name: *

Last Name: *

Physical Address: *

City: *

State: *

Zip Code: *

Primary Phone Number: *

Format: (650) 555-5555

Alternate Phone Number:

Format: (650) 555-5555

Email:

Format: name@example.com

Alarm System

Does your home have an alarm system installed? *

Yes, my home has an alarm system and I have a permit on file with the LAPD.

Yes, my home has an alarm system installed and I DO NOT have a permit on file with the LAPD.

No, my home does not have an alarm system installed.

Homes with alarm systems installed in the City of Los Altos are required to have a permit on file with the Los Altos Police Department. For more information, click here.

Vacation Contact Form

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