Letter Of Agency (Trespass Arrest Authorization) - San Diego Police Department
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1LETTER OF AGENCY
Please determine which police division you live or work
(Trespass Arrest Authorization)
in before completing this form. Go to
In Your
Reset Form
Neighborhood
for a list of divisions and neighborhoods.
San Diego Police Department
In Your
Neighborhood
Business Name
Police Division
Start Date
Jan/22/2015
Office Use Only
Expiration Date
Jan/22/2016
File ID Number ________________
Last Name
First Name
M.I.
I am the (Select one)
Owner
Owner's Agent
Person in lawful possession of the property
Business/Property Located at:
Address (Street)
Zip Code
City/State
Business Phone
Home Phone
Parcel No.
FAX Number
San Diego River Bed
Properties Only
Recently I have experienced problems at my property (Select all that apply)
Defecation
Urinating
Littering
Drinking
Other
Illegal lodging
This activity affects me in the following way:
The property is (Select one):
Apartment
Business
Private Home
Vacant Lot
On-Site Contact
Address
Phone
I authorize the San Diego Police Department (SDPD) to act as my agent for the purposes of enforcing all laws against any person found on the property
without my consent or without lawful purpose.
I certify that the property listed above is (Select applicable sections):
Closed to the public
Closed to the public, and posted as NO TRESPASSING (602 P.C.)
Open to the public, between the hours of
and
I authorize the SDPD to ask unauthorized persons to leave the property. If they refuse to do so, or return thereafter, I authorize the SDPD
to act as my agent for the purposes of enforcing any law violations on the property. My agent or I will cooperate in the prosecution of
persons for these offenses. I understand this letter is valid for a maximum period of TWELVE MONTHS and it is my responsibility to renew
the letter at that time if the need exists.
Emergency Contact,
Home Phone
Cell Phone
Not Owner or
Owner's Agent
Pager
Other Phone
Email Form
Date
Signature/Print
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Parent category: Letters