Start Date
Expiration Date
Please determine which police division you live or work
in before completing this form. Go to In Your
Neighborhood for a list of divisions and neighborhoods.
LETTER OF AGENCY
(Trespass Arrest Authorization)
San Diego Police Department
Business Name
Police Division
Office Use Only
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)
City/State
Home Phone
FAX Number
Zip Code
Business Phone
Parcel No.
San Diego River Bed
Properties Only
Recently I have experienced problems at my property (Select all that apply)
Defecation
Littering Drinking
Illegal lodging
Other
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,
Not Owner or
Owner's Agent
Home Phone
Pager
Cell Phone
Other Phone
Signature/Print
Date
Urinating
Jan/22/2015
Jan/22/2016
In Your
Neighborhood
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