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2. Please complete the online form below to submit your information.
   You're going on vacation and would like the Cleveland County Sheriff's Office to have a deputy drive by your house and check on it.
4. Contact Information
6. First Name*
7. Last Name*
9. Address*
11. City*
12. State*
13. Zip*
15. Daytime Phone Number
16. Cell Phone Number
18. Email Address*
20. Vacation Start Date*
    Vacation Start Date
    Let us know when you leave town
21. Vacation End Date*
    Vacation End Date
    Let us know when you plan to be back
23. Please Specify any details we may need to know for when we patrol by your house*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

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