Vacation Notification Form

If you are going to be away from home for any extended period of time and would like to notify Montgomery Twp. Police as to whom we may contact in the event of an emergency, please fill out our form in one of two ways:

  • Fill out the Vacation Notification Form PDF and mail to Montgomery Twp. Police Dept., Attn: Laura Pavan, 100 Community Drive, Skillman, NJ 08558, or
  • Submit this form directly and securely below.

General Information

In the case of an emergency, do you wish to be notified?

Emergency Contact

Emergency Contact Name
Emergency Contact Address

Vehicles Left in Driveway

Vehicle #1
Vehicle #2
Vehicle #3

Keyholder Information


By emailing this form, I hereby authorize the action requested and/or police use of the information supplied. I certify that the above information is true and correct. I am aware that by submitting this form, my internet IP address will be made know to the Montgomery Twp. Police Dept. and can be traced if false information is provided. Please sign below to acknowledge agreement:

Community Center

Otto Kaufman
356 Skillman Road
Skillman, NJ 08558
(609) 466-3023

Main Offices


Emergency: Dial 911
Non-Emergency: (908) 359-3222