Vacation Watch/Vacant Property Registry

If you own or rent a residence in the City of Middleton and are planning to be out of town, you can provide emergency contact information to the Middleton Police Department for added peace of mind while you are gone. The information you provide will be used in the event of an emergency at your property. This will be extremely beneficial if there is a known increase in criminal activity in your neighborhood.

Given limited resources, officers will NOT physically check your property, and you should not have that expectation. Your neighborhood officers will be notified of the watch on your property and the information you provide may be useful if something unusual happens in your neighborhood (severe weather impact, criminal activity, etc.). We strongly suggest that you make arrangement with a family member, friend or trusted neighbors to check your property while you are gone.

To have your residence added to the vacant property registry, simply complete all of the information below and click submit. You can also click here to download a form to print out and fax to 608-833-9990 or drop off at the Middleton Police Department, 7341 Donna Drive.

NOTE: This is a secure form embedded in our website, which is why you don't see the https. If you prefer to go directly to the secure form to see the https, you can go to https://form.jotform.com/10163738954

Middleton Police Department - Vacation Check Form

Name *
Address *
Physical Street Address
Home Phone Number *

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Vacation Phone Number:

Area Code Phone Number
E-mail *
Leave Date *

Month Day Year Date Picker Icon
Return Date *

Month Day Year Date Picker Icon
Alarm System? *

Yes No
Lights Left on? *

Yes No
If lights left on, describe:
Mail Stopped? *

Yes No
Newspaper Stopped? *

Yes No
Lawn Care? *

Yes No
Snow Removal? *

Yes No
Who is taking care of lawn/snow removal?
Keys left with: *
In case of EMERGENCY: *
Special Instructions/Additional Information:
WAIVER:

By completing this form, I affirm that I am the owner of the property indicated and further agree to hold harmless the City of Middleton, the City of Middleton Police Department and any of its agents or representatives, acknowledging that by completing this form and filing same with the City of Middleton Police Department.

I am requesting that a record be maintained that said property will be vacant during the times listed in this form. I further acknowledge and understand that the filing of this form in no way binds nor implies that the City of Middleton Police Department will be responsible for the security and safekeeping of my property.
*

Agree Disagree
Should be Empty:

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MIDDLETON | WI
City of Middleton 7426 Hubbard Avenue Middleton, WI 53562 Phone: 608-821-8350
The City of Middleton is an Equal Opportunity Employer seeking a diverse and talented workforce.

City of Middleton 7341 Donna Drive Middleton, WI 53562 Phone: 608-824-7300

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Vacation Watch/Vacant Property Registry

MIDDLETON | WI