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The forms found here are all capable of being submitted online. Other forms may need to be downloaded, printed, completed and submitted by either US mail, fax, or in person at the appropriate department. Please check the specific department's web pages to locate forms not found here. If you have difficulty finding the appropriate form, please contact Pontiac City Hall at (815) 844-3396 or by email.

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Residential Vacation / Building Check Request

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Instructions
This Vacation registration in no way guarantees that your property will be safe from vandalism or burglary, but provides the Pontiac Police Department with information of your whereabouts and other important facts if a crime should occur. The Pontiac Police Department will check your building each patrol shift. Have a safe journey and please don't forget to call us upon your return.
First Name*
Last Name*
Address1*
City
State
Zip
Phone Number or Cell Phone*
Please give us a valid contact number
Departure Date*
Return Date*
Probable Route of Travel
Type of Premises*
1. Residence
2. Business
3. Other
Have Keys Been Left with Anyone?*
1. Yes
2. No
First Name of person with keys
Last Name of person with keys
Address1
City
State
Zip
Contact Number
Will anyone be Working About or have Access to the Premesis?*
1. Yes
2. No
First Name
Last Name
Contact Number

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Residential Vacation / Building Check Request

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