top of page

Vacant Residence Report Form

If you will be away from your home for an extended period of time and wish to request special attention to your residence, please complete the form below. We will notify you that we are in receipt of your request. If there are any changes to this form after you have submitted it, please reach out to the Secretary to the Chief of Police immediately at website@townofglenville.org.

Residence Contact Information:

Multi-line address
Date and time: Start of Vacancy
Month
Day
Year
Time
HoursMinutes
Date and time: End of Vacancy
Month
Day
Year
Time
HoursMinutes

Emergency Contact Information:

Home Information:

Do you have an alarm system?
Will there be any vehicles in the driveway?
Will there be any lights on?
bottom of page