Vacation Form

Scenic Hills Community Association

Vacation Notification Form

.....Going to be away for awhile?....

Please complete the form below, print it, and provide it to the Lodge Manager

Name
Adddress
Departure Date
Return Date
During my absence, my neighbor
at Telephone Number	,

will have the keys to my home in case of emergency.

In case of an emergency, please contact my family member as shown below:

Name
Telephone Number
Cell/Work Number

I will be located at , and
can be contacted at this phone number .

While I am away is authorized access to my home.

During this away period, lights will be on in the below rooms at the times designated:

Room: Time On:

Room: Time On:

__________________________________________________ _____________________________________
Signature Date

Please do not write below this line - for Security purposes only