Vacation Check Request Form


As a free service to our residents, Rocklin Police Department Volunteers will check your home while you are away, Monday through Friday, as staffing permits. If you would like to take advantage of this program, please call the Rocklin Police Department at (916) 625-5400. You may also download the fillable Vacation Check Request form. (Please allow 5 business days for processing.) To submit your request you may print it out and drop it off, fax, or mail to:

Rocklin Police Department
Attn: Vacation Checks
4080 Rocklin Rd.
Rocklin, CA 95677 
Fax: 916-625-5495

Lobby Hours:
8 a.m. – 5 p.m.
Monday through Friday

Alternatively, you can mail the form to the address above. You can also email the form to, but be aware that email can be an insecure way to transmit sensitive information.

If you have any questions about this or any other Home Security programs you may contact our Volunteer Coordinator, Wendy Smith at 916-625-5440 or

Vacation Check Form