Vacant Property Notification Form

If a property will be vacant or unoccupied for a period of time exceeding 2 weeks, please enter that information on the Vacant Property Notification Form below.

Requests may only be made by the property owner or current resident.

If your plans change and you will be returning sooner or later than the dates originally stated, please call the Clinton Police Department at 601-924-5252 as soon as possible.There is no need to notify the Police Department if you are returning when scheduled.

Please allow at least one business day advance notice prior to your departure.

Address of Vacant Property

Owner's Last Name

Owner's First Name

Owner's Address

Owner's Phone Number

Email address

Date leaving

Date returning

Secondary emergency contact name

Secondary contact phone number