VACATION CHECK REQUEST FORM

 While you are away, we will check your residence in York Township, Windsor Township, Dallastown Borough, Yoe Borough, North Hopewell Township, Jacobus Borough, Windsor Borough, Felton Borough, and Red Lion Borough.

 Date leaving (begin checking)   Date returning (end checking)

 IF THESE DATES CHANGE, PLEASE CALL 717-741-1259 WEEKDAYS 8A.M. TO 5 P.M. OR AFTER HOURS YORK COUNTY CONTROL AT 717-854-5571.

 Name of Owner  Email 

 Address to be checked: Phone number 

 PERSONS TO CONTACT IN EMERGENCY: 

  First  Contact  Name     Phone(s)

                   Address    

 Second Contact Name  Phone(s)

                      Address 

  Third  Contact   Name   Phone(s)

                      Address 

 Remarks: