Leaving Home Checklist Form
Confirm your home is secure and essentials are handled before you leave. Complete this checklist to ensure a smooth departure.
Departure date and time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Home security actions completed
All doors locked
All windows closed and locked
Alarm system set (if applicable)
Utilities checked
Water shut off or checked
Gas shut off or checked
Lights turned off or set on timers
Appliances and electronics
Unplugged unnecessary appliances
Checked stove/oven is off
Refrigerator/freezer settings checked
Pets and plants care arranged
Pets have food, water, and care
Plants watered or care arranged
Valuables secured
Valuables stored safely
Mail and deliveries paused or collected
Final reminders before leaving
All windows and doors double-checked
Thermostat set appropriately
Trash taken out
Submit Checklist
Should be Empty: