Print or Type Legibly – Illegible writing is grounds for application denial
SAN DIEGO POLICE DEPARTMENT
Media Identification Card Application
No.
(Independent)
For applicants who work for more than one news organization
a freelancer.
New Renewal
(FOR OFFICE USE ONLY)
Name
(LAST)
(FIRST)
(MIDDLE INITIAL)
Home Address
(STREET ADDRESS)
Date of Birth
Home Phone
Social Security No.
Business Phone
ASSIGNMENT AFFILIATIONS (LIST MOST FREQUENT EMPLOYER
FIRST)
NAME FREQ./MO. CONTACT PHONE
4.
GENERAL JOB DESCRIPTION
I
understand that possession of a San Diego Police Department Media Identification Card is
a privilege granted by the Chief of Police to those who cover spot news on a regular basis.
The Chief of Police reserves the right to deny or revoke a card, according to the guidelines
established in San Diego Police Department Procedure 1.31.
(
Applicant’s Signature
) To be signed upon retrieval of ID
Submitting Completed Application:
All applications should be e-mailed to MediaID@PD.SanDiego.Gov.
When the application has been processed, you will be notified by e-mail. Should additional information be
needed by the Media Relations Office, the applicant will be contacted by phone or e-mail. Once the application
has been processed and approved, bring the confirmation e-mail and your photo ID to SDPD Headquarters
1401 Broadway St. (8 a.m. to 4 p.m., Monday through Friday) to complete the credentialing process. Do not
bring photographs; your photo and signature will be transferred to the media card by computer. The entire
process should take no more than ten minutes. There is no cost to you. If you do not complete the
credentialing process within 30 days of approval of this application, you will be required to reapply for
the credential.
Approved:
(MEDIA SERVICES PROGRAM MANAGER)
Revised August 2014
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