Submit Temporary Vacant Property Information to the Upper Darby Police Department

Temporary Vacant Property

The Upper Darby Township Police will provide periodic inspections of homes or business that are temporarily vacant due to extended trips, vacations, or other circumstances. Please provide us with the following information so that we may assist you.

Temporary Vacant Property Form

Requestor First & Last Name:*
Property Street Address:*
Property City:*
Property Zip Code:*
Phone Number:*
Email Address:
Property Vacancy Dates:
Vacant From:*
Vacant Until:*
In Case of Emergency:
Emergency Contact Name:
Emergency Street Address:
Emergency City:
Emergency State:
Emergency Zip Code:
Emergency Phone Number:
Will the lights be left on, or left on a timer?:*	YesNo
If on a timer, enter the hours the lights will be turned on:
Lights will be on from:
Until:
Will the property be protected by an alarm system?:*	YesNo
Will any vehicles be left on the property?:*	YesNo
If yes, provide the following vehicle information:
Year:
Make:
Model:
Color:
Registration Number:
Registration State:
Will any animals be left on the property?:*	YesNo
If yes, please provide a description of the animal:
Additional Information & Concerns:

* Required