Vacation Check Form
Please note: this online form has not been working properly. Please complete this pdf form and email toBBRPD@BendCable.com or call the BBRPD at 541.595.2191.
Complete and sign the "Vacation Check Request" form and submit it to
the BBR Police Department. Forms are in the lobby at the Station or
complete this form.
- If you indicate a specific return date, your form will expire on
that date. If you come and go frequently (and do not stay on
property over one week) indicate "will notify" (W/N) for return
date. Your form will remain on file but you must let us know when
you arrive and when you leave. If you return to the Ranch and stay OVER 7 days, you will need
to submit a new form when you leave.
- If you expect guests to use your residence while you are away,
include the information on the Vacation Check Request Form. Be sure
to instruct your guests to notify the Police Department when they
arrive and when they leave the Ranch.
- In addition to guest information, please include any other
authorized activity at your residence (e.g., contractors,
- When our officers check your
home they will question any activity NOT authorized by you on the
Vacation Request Form.
- For CONFIDENTIALITY your Vacation Request Form will be
transmitted through a Secure Socket Line (SSL) where the information
will be encrypted.
NON-EMERGENCY DISPATCH & OFFICER RESPONSE 541.693.6911
PMB 8244 PO Box 8000
13885 Bishops Cap
Black Butte Ranch OR 97759
Located just inside the entrance of Oregon's Black Butte Ranch, our Police Department provides protection and community support to our residents and guests 24/7.