Print or Type Legibly – Illegible writing is grounds for application denial
SAN DIEGO POLICE
DEPARTMENT
Media Identification Card
Application
New Renewal
No.
Exp.
(FOR OFFICE LISE ONLY)
Name
(LAST)
(FIRST)
(MIDDLE INITIAL)
Home Address
(STREET ADDRESS)
(CITY)
(ZIP CODE)
Date of Birth:
Employer:
Social Security No:
Job Title:
Business Address
(STREET ADDRESS)
(CITY)
(ZIP CODE)
Date Hired
Home Ph:
Bus. Ph:
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 have a regular need to cross police
and/or
fire lines. 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
I certify that this individual is employed full time and has a regular need to cross police and/or fire lines. I will be responsible for
retrieving the Media Identification Card upon this employee’s resignation or termination and for returning it to the Media Relations
Office of the San Diego Police Department.
(Supervisor’s Printed Name) Supervisor’s Phone number
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:
(SDPD AUTHORIZING AGENT)
Revised August 2014
