PlainfieldTownship









Municipal Building Hours:
Monday - Friday: 8am - 4pm



Vacation Dates:

from:   *IE: 2/2/2022

    to  *IE: 2/2/2022

HOME OWNER INFORMATION
First Name:
Last Name:
e-mail:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
EMERGENCY CONTACT INFORMATION
Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
NAMES AND NUMBERS OF PERSONS CHECKING RESIDENCE
Person #1 Name:
Person #1 Phone:
Person #1 Have Keys:
Yes No
Person #2 Name:
Person #2 Phone:
Person #2 Have Keys:
Yes No
Person #3 Name:
Person #3 Phone:
Person #3 Have Keys:
Yes No
ADDITIONAL INFORMATION
Are All Deliveries Stopped?
Yes No
Are Lights Left On?
Yes No
*If Yes, Are They On Timers?
Yes No
Location of Lights and Times of Operation:
Animals On Premises?
Yes No
Type Of Animal?
Breed Of Animal?
Location Of Animal?
Is the Residence Alarmed?
Yes No
*If Yes, Is there an Auto Reset?
Yes No
Vehicle #1:
Location of Vehicle #1:
Vehicle #2:
Location of Vehicle #2:
Vehicle #3:
Location of Vehicle #3:

Emergencies Dial 911 Police: 610-759-8517 Fire: 610-863-3302 Municipal: 610-759-6944